BENJAMIN FORTSON

CHICAGO, IL
NPI1477124519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: IL  135.001137)
Enumeration Date2021-07-09
Last Update Date2021-07-09
Business Address
BENJAMIN FORTSON
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
Mailing Address
BENJAMIN FORTSON
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number:
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