Search › Illinois › 235Z00000X
Benjamin Kittle
NPI 1700455896 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3470 N Alpine Rd
Rockford, IL 61114 - Phone
- (815) 877-1441
- Organisation at this address
- Aegis Group Practice Llc
Fairhaven Christian Retirement CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 4405 Highcrest Rd, Rockford, IL
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-22
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