Search › Illinois › 207W00000X
Benjamin Ticho, MD
NPI 1992782494 · on the registry since 2005
Practice
- Address
- 10436 Southwest Highway
Chicago Ridge, IL 60415 - Phone
- (708) 423-4070
- Fax
- (708) 423-4216
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 156FX1202X
207W00000X
207WX0110X - Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-23
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