Benjamin Illich
Benjamin Illich is an Emergency Medicine in Jackson, Mississippi. Qualified in 2014, 12 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 12
- Licensed in
- MS
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
Jackson, MSNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 24710 (MS) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 390200000 (MS) |
Record details
| NPI number | 1508277609 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 12, 2014 |
| Last updated in NPPES | February 4, 2022 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | The Southeast Permanente Medical Group — 826 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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