BENJAMIN SHAIN (NPI# 1083633804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083633804 |
| Entity Type | Individual |
| Full Name | BENJAMIN SHAIN |
| Credential | MD |
| Practice Address |
718 Glenview Ave Department of Psychiatry Highland Park IL 60035-2432 |
| Mailing Address |
2650 Ridge Ave Evanston IL 60201-1718 |
| Practice Telephone | 8474802747 |
| Practice Fax Number | 8474803797 |
| Mailing Telephone | 8475701206 |
| Mailing Fax Number | 8475701248 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
718 GLENVIEW AVE DEPARTMENT OF PSYCHIATRY |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750350948 | Samina M Waggoner | Pediatrics | 718 Glenview Ave, Highland Park Hospital, Highland Park, IL 60035 | 2006-03-17 |
| 1750400206 | Northshore University Healthsystem | Pharmacy | 718 Glenview Ave, Pharmacy Department, Highland Park, IL 60035-2432 | 2007-03-28 |
| 1598809055 | Bernadette Skladzien | Nurse Anesthetist, Certified Registered | 718 Glenview Ave, Dept of Anesthesia, Highland Park, IL 60035-2432 | 2007-02-17 |
| 1790842904 | Carol Ann Rosenberg | Internal Medicine | 718 Glenview Ave, Rm 1170, Donna Golchert, Highland Park, IL 60035-2432 | 2007-01-03 |
| 1104988815 | Gloria J Newton | Physical Therapist | 718 Glenview Ave, Highland Park, IL 60035-2432 | 2006-12-16 |
| 1467513630 | Mart Jalakas | Emergency Medicine | 718 Glenview Ave, Emergency Department, Highland Park, IL 60035 | 2006-12-12 |
| 1750440186 | Robert Rosencrans | Student in an Organized Health Care Education/Training Program | 718 Glenview Ave, Department of Pathology, Highland Park, IL 60035-2432 | 2006-12-08 |
| 1679631931 | Bruce A. Harris | Emergency Medicine | 718 Glenview Ave, Emergency Department, Highland Park, IL 60035 | 2006-12-05 |
| 1982786091 | Maryann Deleon | Pediatrics | 718 Glenview Ave, Suite 2sw, Highland Park, IL 60035-2432 | 2006-10-19 |
| 1225139355 | Kathleen Mary Mcchristian | Nurse Anesthetist, Certified Registered | 718 Glenview Ave, Department of Anesthesia, Highland Park, IL 60035-2432 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
| 1497761571 | David S Benson | Psychiatry & Neurology | 1005 Wade St, Highland Park, IL 60035-4153 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1831424712 | Nausheen Hafiz-din | Psychiatry & Neurology | 600 Fox Glen Ct, Barrington, IL 60010-1834 | 2009-10-09 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
Please comment or provide details below to improve the information on BENJAMIN SHAIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.