ANGELA BENAVIDES


Address: 1400 Midtown Rd, Peru, IL 61354-1269
Phone: 8152202693

ANGELA BENAVIDES (NPI# 1760478887) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
036074277 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036074277 05

Other Providers ANGELA BENAVIDES

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

Office Location

Street Address 1400 MIDTOWN RD
City PERU
State IL
Zip Code 61354-1269

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962476184 Rakesh K Garg Psychiatry & Neurology 4231 Progress Blvd, Peru, IL 61354 2006-02-14

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City PERU
Zip Code 61354

Improve Information

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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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