ANGELA BENAVIDES (NPI# 1760478887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760478887 |
Entity Type | Individual |
Full Name | ANGELA BENAVIDES |
Credential | MD |
Practice Address |
1400 Midtown Rd Peru IL 61354-1269 |
Mailing Address |
1412 Midtown Rd Peru IL 61354-1271 |
Practice Telephone | 8152202693 |
Practice Fax Number | 8152202640 |
Mailing Telephone | 8152202693 |
Enumeration Date | 2005-09-23 |
Last Update Date | 2018-12-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036074277 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036074277 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366929549 | Angela Marie Benavides | Psychologist | 601 Us-6, Iowa City, IA 52246 | 2018-07-20 |
1083114615 | Angela D Benavides | Homemaker | 3680 Grant Dr Ste L, Reno, NV 89509-5350 | 2018-02-20 |
Street Address |
1400 MIDTOWN RD |
City | PERU |
State | IL |
Zip Code | 61354-1269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649806290 | Tim Collins | Physical Therapist | 1400 Midtown Rd, Peru, IL 61354-1269 | 2020-03-16 |
1619503265 | Jason James Vance | Physical Therapist | 1400 Midtown Rd, Peru, IL 61354-1269 | 2020-03-16 |
1881228419 | Mary Manion | Physical Therapist | 1400 Midtown Rd, Peru, IL 61354-1269 | 2020-02-22 |
1841823838 | Michelle A Zens | Physical Therapist | 1400 Midtown Rd, Peru, IL 61354-1269 | 2020-02-18 |
1629601760 | Samantha Mcgrath | Physical Therapy Assistant | 1400 Midtown Rd, Peru, IL 61354-1269 | 2020-02-18 |
1558994749 | Juli Baker | Physical Therapy Assistant | 1400 Midtown Rd, Peru, IL 61354-1269 | 2020-02-17 |
1225661457 | Andrea Erickson | Physical Therapy Assistant | 1400 Midtown Rd, Peru, IL 61354-1269 | 2020-02-17 |
1073145561 | Gary Joseph Kistenfeger | Physical Therapist | 1400 Midtown Rd, Peru, IL 61354-1269 | 2020-02-12 |
1710351168 | Emily Balestri | Physical Therapist | 1400 Midtown Rd, Peru, IL 61354-1269 | 2015-11-23 |
1871875138 | Nicole Marie Rowold | Occupational Therapist | 1400 Midtown Rd, Peru, IL 61354-1269 | 2011-09-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962476184 | Rakesh K Garg | Psychiatry & Neurology | 4231 Progress Blvd, Peru, IL 61354 | 2006-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
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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.