DALE K BENTON

CHICAGO, IL
NPI1316274012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  041247783)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209007705)
Enumeration Date2009-11-17
Last Update Date2019-08-20
Business Address
DALE K BENTON NP
641 W 63RD ST
CHICAGO, IL 60621-2032
Phone number: 312-996-2000
Mailing Address
DALE K BENTON NP
641 W 63RD ST
CHICAGO, IL 60621-2032
Phone number: 312-996-2000