Charles Bennett
Medical Oncology
675 N Saint Clair St Galter 21-100
Chicago
, Illinois 60611-5975
Charles Bennett
Medical Oncology
675 N Saint Clair St Galter 21-100
Chicago
, Illinois 60611-5975
(312) 695-9797
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Charles Bennett
- 680 N Lake Shore Dr Suite 1000
- Chicago, IL
- Zip : 60611-4546
- Phone : (312) 695-9797
Second Address
- Charles Bennett
- 675 N Saint Clair St Galter 21-100
- Chicago, IL
- Zip : 60611-5975
- Phone : (312) 695-6180
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 036-065474 | IL |
National Provider Identifier
| NPI | 1063488898 |
|---|---|
| Provider Name | Charles Bennett |
| First Address | Chicago, IL 60611-4546 |
| Second Address | Chicago, IL 60611-5975 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 16/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F20480 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.