MRS. DESSA BENTON


Address: 5500 S Damen Ave, Chicago, IL 60636-1107
Phone: 7737768800

MRS. DESSA BENTON (NPI# 1992968143) 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) 1992968143
Entity Type Individual
Full Name MRS. DESSA BENTON
Practice Address 5500 S Damen Ave
Chicago
IL 60636-1107
Practice Telephone 7737768800
Practice Fax Number 7737768801
Mailing Telephone 7737768800
Mailing Fax Number 7737768801
Enumeration Date 2008-07-08
Last Update Date 2008-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
209000672 IL Physician Assistants & Advanced Practice Nursing Providers
N 363LC1500X Nurse Practitioner
Specialization: Community Health
209-000672 IL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
209-000672 IL Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
209-000672 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5500 S DAMEN AVE
City CHICAGO
State IL
Zip Code 60636-1107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962664268 Jil Medical Consultant Clinic/Center 5500 S Damen Ave, Chicago, IL 60636-1107 2008-06-27
1649773144 Dentum Dental Ltd Dentist 5500 S Damen Ave, Chicago, IL 60636-1107 2018-03-12
1346796000 Tade O Akere Psychologist 5500 S Damen Ave, Chicago, IL 60636-1107 2016-08-31
1447542774 Dhcc.,ltd Dentist 5500 S Damen Ave, Chicago, IL 60636-1107 2011-05-04
1952564551 Vernon Michael Smith Nurse Practitioner 5500 S Damen Ave, Chicago, IL 60636-1107 2008-07-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124438742 Habilitative Systems, Inc. Case Management 6845 S Western Ave, Chicago, IL 60636 2014-05-05
1346505286 Sneha Abichandani Pediatrics 5843 South Western, Chicago, IL 60636 2012-07-06
1972812501 Westwood Medical Ceter Inc Surgery 6326 S. Ashland Avenue, Chicago, IL 60636 2010-09-30
1104134915 Mamanatandathernizampc. Clinic/Center 2001 W.69thst., Chicago, IL 60636 2010-09-15
1295966562 Carla Maria Lennan Durable Medical Equipment & Medical Supplies 6343 S. Western, Chicago, IL 60636 2009-08-04
1083826507 Devere J Herron Dentist 7203 South Western Avenue, Chicago, IL 60636 2007-05-04
1427155910 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 1620 West 59th St, Chicago, IL 60636 2006-09-19
1023031473 J &j Pharmacy Ltd. Pharmacist 2001 W 69th Street, Clinic Pharmacy, Chicago, IL 60636 2006-07-26
1831169218 Michael A. Luckett, Dmd & Associates (western Dentist 6153 South Western Avenue, Chicago, IL 60636 2006-01-26
1457330870 Friend Family Health Center, Inc Clinic/Center 5843 S. Western Avenue, Chicago, IL 60636 2006-01-13
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669937231 Colleen Ann Larkin Nurse Practitioner 10939 S Troy St, Chicago, IL 60655-2211 2019-02-07
1487160586 Meghan Doepke Sullivan Nurse Practitioner 1030 N Clark St Ste 400, Chicago, IL 60610-5468 2017-12-27
1366955940 Debra Chana Goldstein Nurse Practitioner 2732 W Chase Ave, Chicago, IL 60645-1313 2017-11-06
1588189260 Larissa Marie Schulze Nurse Practitioner 737 N Michigan Ave Ste 820, Chicago, IL 60611-6659 2017-08-03
1164887295 Meredith Murphy Mcintee Nurse Practitioner 5841 S Maryland Ave # Mc4065, Chicago, IL 60637-1443 2015-12-16
1215345442 Tara Seider Nurse Practitioner 2707 W Ainslie St, Unit #3, Chicago, IL 60625-2715 2014-07-31
1447697982 Emily Thurn Nurse Practitioner 225 E Chicago Ave Box 29, Chicago, IL 60611-2605 2013-05-23
1518231505 Julianne Deschler Bertalmio Nurse Practitioner 1460 N. Halsted Street, Suite 402, Chicago, IL 60642 2012-03-08
1932478765 Julie Elizabeth Martin Nurse Practitioner 225 E Chicago, 4 Ne, Chicago, IL 60611-2605 2011-12-22
1245532480 Alexandra Wilson Benz Nurse Practitioner 225 E Chicago Ave # 93, Chicago, IL 60611-2991 2010-11-20
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60636

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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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