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

Paul A Bennett, MD

Individual provider Family Medicine Physician · NPI 1366526600

Paul A Bennett, MD is a Family Medicine Physician in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

374 E Grand Ave # 6740
Carbondale, IL 62901-3962
Phone: (618) 453-3311
Fax: (618) 453-4449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-054875 (IL)

Record details

NPI number1366526600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address3050 Chautauqua Rd, Carbondale, IL 62901-5241

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