Male or Other

Ilyes Benchaala MD

Rheumatology Physician in Detroit, MI(View on Map)

Full Name

Ilyes Benchaala MD

NPI Number

1346578127

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/07/2009

Specialties

(Taxonomies)

Code

207RR0500X
207R00000X

Primary Taxonomy

Yes
No

Licenses

State

Michigan

License Number

4301088059

Contact
Information

Purpose

Mailing
Location

Address

400 MACK AVE
4160 JOHN R

City

Detroit
Detroit

State

MI
MI

Postal Code

48201-2136
48201-2020

Country

US
US

Telephone Number

N/A
(313) 745-4525

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/18/2022

Provider Address

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