MR. BENJAMIN SCOTT HULFACHOR


Address: 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062
Phone: 8156164559

MR. BENJAMIN SCOTT HULFACHOR (NPI# 1134738800) 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) 1134738800
Entity Type Individual
Full Name MR. BENJAMIN SCOTT HULFACHOR
Credential APN
Practice Address 4143 N Central Park Ave Apt G
Chicago
IL 60618-2062
Practice Telephone 8156164559
Mailing Telephone 8156164559
Enumeration Date 2020-07-28
Last Update Date 2020-07-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
209021004 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4143 N CENTRAL PARK AVE APT G
City CHICAGO
State IL
Zip Code 60618-2062

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60618

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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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