Search › Illinois › 1223S0112X
Benjamin Schaefer, D.D.S
NPI 1093172744 · on the registry since 2016
Practice
- Address
- 611 W Park St
Urbana, IL 61801 - Phone
- (217) 383-3280
- Fax
- (217) 383-7071
- Organisation at this address
- Lifenet, Inc.
Carle Hospital
University Of Illinois
University Of Illinois
Carle Foundation HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 976
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 122300000X
1223S0112X - Licence states on file
- IL, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois