JONATHAN BENJAMIN IDA

CHICAGO, IL
NPI1801070370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207YP0228X Otolaryngology Pediatric Otolaryngology
(Licence: IL  1801070370)
Additional Taxonomies207Y00000X Otolaryngology
(Licence: LA  MD.200263)
207YP0228X Otolaryngology Pediatric Otolaryngology
(Licence: OH  35.094270)
Enumeration Date2007-12-19
Last Update Date2018-11-06
Business Address
DR. JONATHAN BENJAMIN IDA M.D.
225 E CHICAGO AVE # 25
CHICAGO, IL 60611-2991
Phone number: 312-227-6234
Mailing Address
DR. JONATHAN BENJAMIN IDA M.D.
225 E CHICAGO AVE # 25
CHICAGO, IL 60611-2991
Phone number: 312-227-6234