Individual provider · Type 1 NPI

Chance Adam Benedict Jr., DO

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

NPI number 1376484758 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (972) 971-0960 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1376484758

Chance Adam Benedict Jr., DO's National Provider Identifier is 1376484758, issued on Apr 2, 2026. 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 Apr 2, 2026.