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1780657270
BRIAN T BENNETT
FREEPORT, IL
NPI
1780657270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036101978)
Enumeration Date
2006-02-07
Last Update Date
2017-10-27
Business Address
Dr. BRIAN T BENNETT MD
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032-6942
Phone number: 815-599-6000
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Mailing Address
Dr. BRIAN T BENNETT MD
421 W EXCHANGE ST PO BOX 268
FREEPORT, IL 61032-4030
Phone number:
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