TUCKER D BENJAMIN

CRYSTAL LAKE, IL
NPI1407122591
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085005769)
Enumeration Date2012-03-22
Last Update Date2024-12-30
Business Address
TUCKER D BENJAMIN MS, PA-C
750 E TERRA COTTA AVE STE B
CRYSTAL LAKE, IL 60014-3621
Phone number: 815-759-6363
Mailing Address
TUCKER D BENJAMIN MS, PA-C
260 E CONGRESS PKWY STE D
CRYSTAL LAKE, IL 60014-6235
Phone number: 815-759-6363
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