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BENJAMIN ILLICH
Emergency Medicine Physician
NPI: 1508277609IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
390200000(MS)
Emergency Medicine PhysicianPrimary
Emergency Medicine
Code: 207P00000X
24710(MS)
CMS Specialties
PrimaryEMERGENCY MEDICINE
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 2500 N STATE ST
JACKSON, MS 39216 - Phone
- (228) 984-5582
Quick Facts
- NPI
- 1508277609
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 12
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