JILL C BENEDECK (NPI# 1245742949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245742949 |
| Entity Type | Individual |
| Full Name | JILL C BENEDECK |
| Credential | APN |
| Practice Address |
4305 W Medical Center Dr Mchenry IL 60050-8425 |
| Mailing Address |
3215 Vista Ter Mchenry IL 60050-8240 |
| Practice Telephone | 8150759443 |
| Mailing Telephone | 8156904179 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
209.016560 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4305 W MEDICAL CENTER DR |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-8425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487636478 | Thomas D Weyburn Jr. | Internal Medicine | 4305 W Medical Center Dr, Suite 1, Mchenry, IL 60050-8425 | 2005-11-16 |
| 1659857878 | Integrative Radiation Oncology Consultants | Radiology | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2018-07-11 |
| 1508394735 | Tina Han | Genetic Counselor, MS | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2017-06-01 |
| 1124145032 | Laura Beamer | Nurse Practitioner | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2007-03-23 |
| 1922114453 | Illinois Cancer Specialists | Internal Medicine | 4305 W Medical Center Dr, Ste 1, Mchenry, IL 60050-8425 | 2006-08-21 |
| 1235163437 | Terrence J Bugno | Radiology | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2006-07-11 |
| 1437181047 | Shelly Klube Galasinski | Genetic Counselor, MS | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2006-07-06 |
| 1083658082 | Jill Marie Behm | Nurse Practitioner | 4305 W Medical Center Dr, Suite 1, Mchenry, IL 60050-8425 | 2006-06-16 |
| 1851350318 | Rena Beth Zimmerman | Radiology | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 364SX0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714663 | Carole Sims Henn Martz | Clinical Nurse Specialist | 757 Park West, Highland Park Hospital, Highland Park, IL 60035 | 2007-05-30 |
| 1972684066 | Valerie Wodzinski | Clinical Nurse Specialist | 119 Northgate, Riverside, IL 60541 | 2006-10-17 |
| 1124629035 | Carla Sue Smith | Clinical Nurse Specialist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-06 |
| 1346870177 | Margaret M Gregus | Clinical Nurse Specialist | 121 N Elm St, Hinsdale, IL 60521-3765 | 2020-01-21 |
| 1497096853 | Mary Eileen Callaghan | Clinical Nurse Specialist | 250 E Superior St, Prentice 14-2226, Chicago, IL 60611-2914 | 2013-03-11 |
| 1902166754 | Kimberly Lisa Valachovic | Clinical Nurse Specialist | 676 N Saint Clair St, Suite 850, Chicago, IL 60611-2927 | 2012-05-25 |
| 1215224274 | Jacqueline Ann Rohaly-davis | Clinical Nurse Specialist | 15750 Marian Dr, Homer Glen, IL 60491-6200 | 2011-06-28 |
| 1366768764 | Mary Colleen Welles | Clinical Nurse Specialist | 676 N Saint Clair St, Suite 2125, Chicago, IL 60611-2927 | 2010-04-12 |
| 1043449416 | Deborah A. Stlaske | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2009-07-07 |
| 1972746238 | Barbara Jean Gordon | Clinical Nurse Specialist | 5841 S Maryland Ave, Mc 5094 Room G-209, Chicago, IL 60637-1447 | 2009-04-15 |
| Find all providers with the same taxonomy | ||||
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| 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.