Organization · Type 2 NPI

Allison Benthal D.o. S.c.

Specialist · Rockford, IL

NPI number 1104014075 Active

Practice location

1893 Daimler Rd
Rockford, IL 61112-1081

Call (815) 381-1004 Map

Fax (815) 381-1007

Mailing address

5727 Strathmoor Dr
Rockford, IL 61107-5180

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104014075

Allison Benthal D.o. S.c.'s National Provider Identifier is 1104014075, issued on Oct 4, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rockford, IL. The record was last updated on Jul 21, 2022.