BENITO C BAJUYO MD PC NPI 1134119654

NPI Information

  • NPI: 1134119654
  • Provider Name: BENITO C BAJUYO MD PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 28 CHICK ST
    DECKER MEDICAL ANNEX
    METROPOLIS, IL
    ZIP 62960
  • Phone: (618) 524-9232

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NPI Details

BENITO C BAJUYO MD PC is a general practice in Metropolis, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BENITO C BAJUYO MD PC NPI is 1134119654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28 CHICK ST
DECKER MEDICAL ANNEX
METROPOLIS, IL
ZIP 62960-467
Phone: (618) 524-9232
Fax: (618) 524-9489

The provider's authorized official is Benito Colanco Bajuyo .
The authorized official title is Owner and has the following contact phone number (618) 524-9232.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1262914OTHERHLK
26400025OTHERBC IL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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