Search › Illinois › 224Z00000X
Fanor Benavidez
NPI 1316793011 · on the registry since 2024 · sole proprietor
Practice
- Address
- 35 Shawmut Ave
La Grange, IL 60525 - Phone
- (708) 206-9899
- Organisation at this address
- Pathway La Grange Property Owner, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-24
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