PAUL JOHN BENNETT

PEORIA, IL
NPI1780933770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  070019448)
Enumeration Date2012-09-05
Last Update Date2012-09-05
Business Address
Dr. PAUL JOHN BENNETT
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-683-8170
Mailing Address
Dr. PAUL JOHN BENNETT
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-683-8170