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

Dr. Paul John Bennett

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1780933770

Dr. Paul John Bennett is a Physical Medicine & Rehabilitation Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

100 NE Randolph Ave
Peoria, IL 61606-1919
Phone: (309) 683-8170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 070019448 (IL)

Record details

NPI number1780933770
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012
Mailing address100 Ne Randolph Ave, Peoria, IL 61606-1919

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