BENJAMIN STEPHAN


Address: 2525 S Michigan Ave, B-522, Chicago, IL 60616-2333
Phone: 3125672000

BENJAMIN STEPHAN (NPI# 1255586103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255586103
Entity Type Individual
Full Name BENJAMIN STEPHAN
Credential MD
Practice Address 2525 S Michigan Ave
B-522
Chicago
IL 60616-2333
Practice Telephone 3125672000
Practice Fax Number 3125676156
Mailing Telephone 3125672000
Mailing Fax Number 3125676156
Enumeration Date 2008-11-19
Last Update Date 2008-11-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
036036153 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICARE GROUP 950150 01
IL BCBSIL 01621679 01
IL 036036153 05

Office Location

Street Address 2525 S MICHIGAN AVE
B-522
City CHICAGO
State IL
Zip Code 60616-2333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215937628 Bassam Osman Psychiatry & Neurology 2525 S Michigan Ave, Chicago, IL 60616-2333 2005-07-28
1821699794 Gabrielle Klugman Speech-Language Pathologist 2525 S Michigan Ave, Chicago, IL 60616-2332 2020-11-05
1588278766 Omar Hegazy Internal Medicine 2525 S Michigan Ave, Chicago, IL 60616-2315 2020-09-03
1326657651 Stevan Oluic Internal Medicine 2525 S Michigan Ave, Chicago, IL 60616-2315 2020-07-22
1821616947 Peter Pyagay Internal Medicine 2525 S Michigan Ave, Chicago, IL 60616-2332 2020-07-07
1225655665 Elliot A Petropoulos Internal Medicine 2525 S Michigan Ave, Chicago, IL 60616-2315 2020-07-01
1053931758 Kristiina Carol Miller Student in an Organized Health Care Education/Training Program 2525 S Michigan Ave, Chicago, IL 60616 2020-04-22
1316567365 Nikita Grama Podiatrist 2525 S Michigan Ave, Chicago, IL 60616-2315 2020-04-20
1073132031 David Fares Nassif Hana Internal Medicine 2525 S Michigan Ave, Chicago, IL 60616-2332 2020-04-10
1932728961 Maria Geraldinesneha Devanesan Internal Medicine 2525 S Michigan Ave, Chicago, IL 60616-2332 2020-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558993758 King Dental, PC Clinic/Center 3425 S King Dr, Chicago, IL 60616 2020-02-06
1386286144 Anais Karel Jackson-gonzalez Acupuncturist 2018 S. Michigan Ave., Chicago, IL 60616 2019-10-14
1215499777 Mashaal F Ikram Student in an Organized Health Care Education/Training Program Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 2019-04-03
1891254223 Towayn Heaven Acupuncturist 2018 S Michigan Ave, Chicago, IL 60616 2019-03-15
1689131518 Abhishek Santos Pandya Internal Medicine 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 2019-02-27
1144703992 Katelyn Michelle St Martin Physician Assistant 2850 S Michigan Ave Ste 100, Chicago, IL 60616 2018-09-07
1902383953 Healing Empowering & Learning Professionals LLC Clinic/Center 2930 S Michigan Ave Ste 100, Chicago, IL 60616 2018-07-23
1437644812 Puja Bhagwakar Dentist 1620 S Michigan Ave Unit 704, Chicago, IL 60616 2018-06-27
1821589110 David Alexander Sousa Frias Internal Medicine 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 2018-05-23
1508394933 Awad Eyecare Sc Optometrist 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 2017-05-30
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Taxonomy Information

Taxonomy Code 2084P0802X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Psychiatry

Taxonomy Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013141803 Ishani Harsh Dalal Psychiatry & Neurology 680 N Lake Shore Dr Ste 800, Chicago, IL 60611-8701 2009-05-07
1790953388 Sarz Maxwell Psychiatry & Neurology 1020 W Ardmore Ave, #104, Chicago, IL 60660-3700 2008-02-15
1588872055 Babatunde Gbolade Okuleye Psychiatry & Neurology 200 S Michigan Avenue, Suite 710, Chicago, IL 60604-2403 2007-05-18
1134243942 Sheldon S. Greenberg, M.d., S.c. Psychiatry & Neurology 2835 North Sheffield Ave., Suite 200, Chicago, IL 60657-5083 2007-03-19
1851645964 Pilsen Psychiatric Clinic & Associates, LLC Psychiatry & Neurology 1870 S Blue Island Ave, Chicago, IL 60608-3013 2012-10-29
1417225152 Anish John Psychiatry & Neurology 680 N Lake Shore Dr Ste 800, Chicago, IL 60611-8701 2011-12-08
1356633192 Sree Harsha Katragadda Psychiatry & Neurology 912 S Wood St, Chicago, IL 60612-4300 2011-05-12
1629190665 Virgilio Arenas Psychiatry & Neurology 1901 W Harrison St, Chicago, IL 60612-3714 2007-04-03
1154407658 Joe Nathaniel Sangster Sr. Psychiatry & Neurology 820 S Damen Ave, Chicago, IL 60612-3728 2006-10-27
1396752721 Jeffrey David Roth Psychiatry & Neurology 25 E Washington St, Suite 1811, Chicago, IL 60602-1708 2006-08-01
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Competitor

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City CHICAGO
Zip Code 60616

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Dataset Information

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.

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