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1265410898
JEFFREY I BENNETT
SPRINGFIELD, IL
NPI
1265410898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036-080065)
Enumeration Date
2006-01-04
Last Update Date
2020-10-18
Business Address
JEFFREY I BENNETT M.D.
901 W JEFFERSON ST
SPRINGFIELD, IL 62702-4833
Phone number: 217-545-8229
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Mailing Address
JEFFREY I BENNETT M.D.
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-7578
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