DR. BENJAMIN A DUBIN


Address: 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380
Phone: 8476628201

DR. BENJAMIN A DUBIN (NPI# 1356495030) 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) 1356495030
Entity Type Individual
Full Name DR. BENJAMIN A DUBIN
Credential M.D.
Practice Address 103 S Greenleaf St
Suite J
Gurnee
IL 60031-3380
Practice Telephone 8476628201
Practice Fax Number 8476628215
Mailing Telephone 8476628201
Mailing Fax Number 8476628215
Enumeration Date 2007-01-22
Last Update Date 2008-02-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist IL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL CIGNA PROVIDER NUMBER 7248829002 01
IL AETNA PROVIDER NUMBER 4392571 01
IL MEDICARE GRP NUMBER 453550 01
IL MDR INDIVIDUAL NUMBER K39550 01
IL 0360399611 05
IL NPI PRACTICE NUMBER 1609827237 01
IL BCBS PROVIDER # 4920144 01

Office Location

Street Address 103 S GREENLEAF ST
SUITE J
City GURNEE
State IL
Zip Code 60031-3380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518959329 Mathangi R Sekharan Internal Medicine 103 S Greenleaf St, Suite A, Gurnee, IL 60031-3380 2005-08-17
1093237596 Joshua Nathan Riegelhaupt Podiatrist 103 S Greenleaf St, Ste B, Gurnee, IL 60031-3380 2017-07-17
1932539459 Robert A. Hozman Md Sc Internal Medicine 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 2013-11-19
1720203789 Nickole A. Dooley Family Medicine 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 2007-04-16
1639218944 John Edward Stuparitz Dentist 103 S Greenleaf St, Suite K, Gurnee, IL 60031-3380 2007-02-05
1699874511 Diane B. Zimmerman Physician Assistant 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 2006-09-21
1659310753 Nicholas J Nikitas Family Medicine 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 2006-06-05
1558316281 Samuel Solomon Specialist 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 2006-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881174720 Rockelle Waggoner Behavioral Analyst 489 Tanglewood Dr, Gurnee, IL 60031 2018-08-20
1316434376 Lake County Internal Medicine Assoc LLC Non-Pharmacy Dispensing Site 15 Tower Ct., Ste 190, Gurnee, IL 60031 2018-04-16
1588163364 Advanced Endodontics, PC Dentist 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 2018-02-07
1578081550 Northshore Medical Consultants, Ltd Family Medicine 1425 Hunt Club Rd. #302, Gurnee, IL 60031 2017-08-30
1336678739 Sarah Beth Fugelseth Nurse Practitioner 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 2017-06-08
1174079867 Lifecarepros, LLC In Home Supportive Care 223 North Route 21, Gurnee, IL 60031 2016-09-01
1740733195 Ryan Lee Winslow Chiropractor 6021 Washington St, Unit B, Gurnee, IL 60031 2016-08-02
1891129599 Smart Scan Mri, LLC Clinic/Center 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 2013-08-29
1568720076 Yudelca Romano Genetic Counselor, MS 1125 Tri State Parkway, Gurnee, IL 60031 2012-05-03
1558637348 Laura E Novak Social Worker 4212 Old Grand Avenue, Gurnne, IL 60031 2012-03-27
Find all providers in zip 60031

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760940100 Eqmd, Inc. Specialist 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 2019-03-05
1477845907 Melissa Jo Zizzo Specialist 17532 W Stillwater Ct, Gurnee, IL 60031-4507 2011-05-02
1508037201 Ralph G Frank Specialist 1425 N Hunt Club Rd Ste 101, Gurnee, IL 60031-2646 2008-03-20
1235348582 Children's Health Center, S.c. Specialist 15 Tower Ct Ste 100, Gurnee, IL 60031-3336 2007-05-22
1467677948 Gurnee Physical Medicine Ltd Specialist 5415 Grand Ave, Gurnee, IL 60031-4906 2007-04-17
1760504864 Tien C. Cheng, Md,sc Specialist 5101 Washington St Ste 24, Gurnee, IL 60031-2988 2007-04-06
1649301334 Diabetes Osteoporosis Thyroid Endocrine Center LLC Specialist 1425 N Hunt Club Rd Ste 303, Gurnee, IL 60031-2639 2007-03-07
1881742914 Kathleen Cummings Specialist 6206 Eagle Ridge Dr, Gurnee, IL 60031-4713 2007-01-08
1578502159 Nilesh D Mehta Specialist 202 S. Greenleaf Ave Suite E, Cancer Treatment Centers of America, Gurnee, IL 60031 2006-06-06
1609827237 North Suburban Dermatology Associates,sc Specialist 1o3 S Greenleaf St, Suite J, Gurnee, IL 60031-3370 2006-05-16
Find all providers in GURNEE

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City GURNEE
Zip Code 60031

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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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