Dr. Kenneth G Bennet
Nuclear Medicine Specialist
155 E Brush Hill Rd Elmhurst Memorial Hospital
Elmhurst
, Illinois 60126-5658
Dr. Kenneth G Bennet
Nuclear Medicine Specialist
155 E Brush Hill Rd Elmhurst Memorial Hospital
Elmhurst
, Illinois 60126-5658
(847) 677-6410
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Kenneth G Bennet
- 23685 Network Pl
- Chicago, IL
- Zip : 60673-1236
- Phone : (847) 677-6410
Second Address
- Dr. Kenneth G Bennet
- 155 E Brush Hill Rd Elmhurst Memorial Hospital
- Elmhurst, IL
- Zip : 60126-5658
- Phone : (630) 941-4562
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | 36116708 | IL |
National Provider Identifier
| NPI | 1396855185 |
|---|---|
| Provider Name | Dr. Kenneth G Bennet |
| First Address | Chicago, IL 60673-1236 |
| Second Address | Elmhurst, IL 60126-5658 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 03/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0002233091 | BLUE SHIELD PROVIDER (01) | IL |
| 036116708 | (05) | IL |
| I61773 | (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.