DR. BENJAMIN THOMAS DUKE (NPI# 1043403793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043403793 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN THOMAS DUKE |
| Credential | D.C. |
| Practice Address |
1515 Sheridan Rd Arcade Unit 20-21 Wilmette IL 60091-1822 |
| Practice Telephone | 8479204544 |
| Practice Fax Number | 8479205754 |
| Mailing Telephone | 8479204544 |
| Mailing Fax Number | 8479205754 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2013-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038010964 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 9932411 | 01 |
| IL | BCBS IL | 1605587 | 01 |
| IL | MEDICARE GROUP/ORGANIZATION PROVIDER TRANSACTION ACCESS NUMBER P | F100094293 | 01 |
| IL | MEDICARE GROUP MEMBER PTAN | F400094300 | 01 |
| Street Address |
1515 SHERIDAN RD ARCADE UNIT 20-21 |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619965217 | Martin H Okner | Pharmacist | 1515 Sheridan Rd, Del Lago Pharmacy, Wilmette, IL 60091-1822 | 2005-10-10 |
| 1114329943 | Philip Michael Cook | Dentist | 1515 Sheridan Rd, Wilmette, IL 60091-1822 | 2014-09-24 |
| 1982040713 | Elite Wellness Center, Inc. | Chiropractor | 1515 Sheridan Rd, Wilmette, IL 60091-1822 | 2013-05-20 |
| 1063752871 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1515 Sheridan Rd, Wilmette, IL 60091-1822 | 2013-02-15 |
| 1043541055 | Philip Cook Dds LLC | Dentist | 1515 Sheridan Rd, Wilmette, IL 60091-1822 | 2010-01-15 |
| 1770739732 | Cassandra Lall | Internal Medicine | 1515 Sheridan Rd, Suite 31a, Wilmette, IL 60091-1822 | 2008-08-11 |
| 1174789853 | Leslie Deitch Noble | Pediatrics | 1515 Sheridan Rd, Suite 31a, Wilmette, IL 60091-1822 | 2008-08-01 |
| 1457517302 | Lindsay Wegg Uzunlar | Pediatrics | 1515 Sheridan Rd, Ste 31a, Wilmette, IL 60091-1822 | 2008-07-31 |
| 1407043888 | Philip E Cook | Dentist | 1515 Sheridan Rd, Wilmette, IL 60091 | 2007-09-28 |
| 1477662633 | Matthew Victor Dolce | Dentist | 1515 Sheridan Rd, Wilmette, IL 60091-1822 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144841321 | Alexander Charles Halstead | Chiropractor | 402 Linden Ave, Wilmette, IL 60091-2845 | 2020-04-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1063423234 | Pieter A Van Heule | Chiropractor | 522 Poplar Dr, Wilmette, IL 60091-2717 | 2006-08-11 |
| 1669482469 | Joel John Sammarco | Chiropractor | 3207 Lake Ave, Suite 5a, Wilmette, IL 60091-1082 | 2006-08-08 |
| 1154330959 | Michael L Belba | Chiropractor | 3207 Lake Ave Ste 5a, Wilmette, IL 60091-1070 | 2006-08-08 |
| 1407207129 | Integrated Holistic Healthcare, S.c. | Chiropractor | 522 Poplar Dr, Wilmette, IL 60091-2717 | 2016-06-23 |
| 1043666076 | Brad Campbell | Chiropractor | 522 Poplar Dr, Wilmette, IL 60091-2717 | 2016-05-09 |
| 1982040713 | Elite Wellness Center, Inc. | Chiropractor | 1515 Sheridan Rd, Wilmette, IL 60091-1822 | 2013-05-20 |
| 1316224678 | Michael G Clark Dc Sc | Chiropractor | 1159 Wilmette Ave, Suite 228, Wilmette, IL 60091-2649 | 2011-11-14 |
| 1326345331 | Joel J Sammarco, Dc, PC | Chiropractor | 3207 Lake Ave, Suite 5a, Wilmette, IL 60091-1082 | 2011-02-28 |
| Find all providers in WILMETTE | ||||
Please comment or provide details below to improve the information on DR. BENJAMIN THOMAS DUKE.
| 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.