Individual provider · Type 1 NPI

Alissa Zimmerman Bennett, MD

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1174878672 Active

Practice location

815 Main St
Peoria, IL 61602-1076

Call (309) 672-4977 Map

Mailing address

5100 Reliable Pkwy
Chicago, IL 60686-0051

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125062318 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174878672

Alissa Zimmerman Bennett, MD's National Provider Identifier is 1174878672, issued on Jul 20, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Jul 20, 2012.