MR. Benjamin Matsumoto, MD

NPI #1164554473 in Chicago, Illinois

Provider Information

NPI Number: 1164554473
Entity Type: Individual
Name: MR. Benjamin Matsumoto, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Mar 12, 2007
Last Updated: May 13, 2014

Practice Location

Address: 2900 N LAKE SHORE DR
Address 2: MEDICAL STAFF OFFICE PRESENCE ST. JOSEPH HOSPITAL
City: Chicago
State: Illinois
ZIP Code: 60657-5640
Phone: (773) 665-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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