NPI 1104014075

Allison Benthal D.O. S.C.

Organisation Specialist Rockford, IL

Practice location

Address: 1893 Daimler Rd, Rockford, IL 61112-1081
Phone: (815) 381-1004
Fax: (815) 381-1007
Mailing address: 5727 Strathmoor Dr, Rockford, IL 61107-5180

Authorised official

Name: Allison Benthal
Title: Physician
Phone: (815) 381-1004

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Illinois →

Registry record

NPI: 1104014075
Entity type: Organization
NPI issued: 4 Oct 2007
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.