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1225699671
BENJAMIN FORD
DECATUR, IL
NPI
1225699671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125-075006)
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
Dr. BENJAMIN FORD M.D.
102 W KENWOOD AVE STE 100
DECATUR, IL 62526-4379
Phone number: 217-872-3800
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Mailing Address
Dr. BENJAMIN FORD M.D.
102 W KENWOOD AVE STE 100
DECATUR, IL 62526-4379
Phone number: 217-872-3800
Copy
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