Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Detzner

Individual provider Physical Therapy Assistant · NPI 1922641422

Benjamin Detzner is a Physical Therapy Assistant in Wilmette, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
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Practice location Address checks out

521 Green Bay Rd
Wilmette, IL 60091-2726
Phone: (847) 724-4864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160-008772 (IL)

Record details

NPI number1922641422
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2019
Last updated in NPPESOctober 28, 2019
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

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