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1881677052
GREGORY L BENNETT
SPRINGFIELD, IL
NPI
1881677052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036-088610)
Enumeration Date
2005-11-22
Last Update Date
2011-01-20
Business Address
-- GREGORY L BENNETT M.D.
301 N 8TH ST
SPRINGFIELD, IL 62701-1041
Phone number: 217-545-4238
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Mailing Address
-- GREGORY L BENNETT M.D.
PO BOX 19658
SPRINGFIELD, IL 62794-9658
Phone number: 217-545-4238
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