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1366453698
CAROL MAIN-BENNER
PARK RIDGE, IL
NPI
1366453698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209-003422)
Enumeration Date
2006-08-11
Last Update Date
2022-06-07
Business Address
CAROL MAIN-BENNER NP
1775 BALLARD RD
PARK RIDGE, IL 60068-1005
Phone number: 847-318-2500
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Mailing Address
CAROL MAIN-BENNER NP
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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