BENJAMIN STEPHAN (NPI# 1255586103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
036036153 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE GROUP | 950150 | 01 |
IL | BCBSIL | 01621679 | 01 |
IL | 036036153 | 05 |
Street Address |
2525 S MICHIGAN AVE B-522 |
City | CHICAGO |
State | IL |
Zip Code | 60616-2333 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 60616 |
Taxonomy Code | 2084P0802X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Psychiatry |
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] |
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 |
Find all providers in CHICAGO |
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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.