Stephen Benson Macenas
Stephen Benson Macenas is a Physician Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in California, Illinois and Washington.
- Licensed in
- CA, IL, WA
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
1702 N Milwaukee AveChicago, IL 60647-5424
Phone: (630) 207-7476
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085007500 (IL) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 61168 (CA) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA61396344 (WA) |
Record details
| NPI number | 1871133538 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2020 |
| Last updated in NPPES | June 23, 2023 |
| Certification date | June 23, 2023 |
| Mailing address | 1702 N Milwaukee Ave, Chicago, IL 60647-5424 |
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