DR. LAURA ANN BENTON (NPI# 1265563845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265563845 |
| Entity Type | Individual |
| Full Name | DR. LAURA ANN BENTON |
| Credential | PSY.D. |
| Practice Address |
420 West Grand Ave Lake Villa IL 60046 |
| Practice Telephone | 8473563322 |
| Practice Fax Number | 8473562360 |
| Mailing Telephone | 8473563322 |
| Mailing Fax Number | 8473562360 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659734408 | Laura Benton | Clinical Nurse Specialist | 4100 Duval Rd Bldg 3, Suite 200, Austin, TX 78759-4275 | 2016-03-30 |
| 1912394503 | Laura Benton | Obstetrics & Gynecology | 3424 Kossuth Ave, Bronx, NY 10467-2410 | 2015-04-21 |
| 1124394952 | Laura F Benton | Lactation Consultant, Non-RN | 13640 Steelecroft Pkwy, 210, Charlotte, NC 28278-7796 | 2012-03-27 |
| 1710167309 | Laura Michelle Benton | Marriage & Family Therapist | 328 Denison St, Highland Park, NJ 08904-2732 | 2007-11-12 |
| Street Address |
420 WEST GRAND AVE |
| City | LAKE VILLA |
| State | IL |
| Zip Code | 60046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021287 | Kathryn Anne Harper | Physical Therapist | 7900 Rollins Road, Lake Villa, ID 60046 | 2020-04-16 |
| 1508346263 | Milennium Medical Ltd | Nurse Practitioner | 2866 Falling Waters, Lindenhurst, IL 60046 | 2018-08-21 |
| 1497264121 | Gail Truger | Speech-Language Pathologist | 24750 W. Dering Lane, Lake Villa, IL 60046 | 2017-09-26 |
| 1104345669 | Tobias V Schirmer | Speech-Language Pathologist | Palombi Middle School, 133 South Mckinley, Lake Villa, IL 60046 | 2017-09-15 |
| 1699163410 | Daniel Aron Goldberg | Psychologist | 600 West Grand Avenue, Lake Villa, IL 60046 | 2014-12-31 |
| 1962838946 | Kendall Barber | Physical Therapist | 50 S Milwaukee Ave Ste 201, Lake Villa, IL 60046 | 2013-09-23 |
| 1790045284 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1025 Red Oak Lane, Suite 100, Lindenhurst, IL 60046 | 2012-05-18 |
| 1548534977 | Daniela Cvetkova | Counselor | 3021 Falling Waters, Lindenhurst, IL 60046 | 2012-03-02 |
| 1225310568 | Dimitrios George Tsakos | Pharmacist | 399 South Route 45, Lindenhurst, IL 60046 | 2011-09-13 |
| 1285933085 | Abigail Jean Bradley | Developmental Therapist | 87 Bridlepath Drive, Lindenhurst, IL 60046 | 2011-03-18 |
| Find all providers in zip 60046 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699163410 | Daniel Aron Goldberg | Psychologist | 600 West Grand Avenue, Lake Villa, IL 60046 | 2014-12-31 |
| 1508174327 | Jaclyn Patrice Guerriero | Psychologist | 420 W Grand Avenue, Lake Villa, IL 60046-9152 | 2010-09-14 |
| 1003023714 | Sandra Ellen Johnson Clavelli | Psychologist | 420 W. Grand Ave, Lake Villa, IL 60046 | 2007-05-16 |
| 1134247141 | Patricia Ann Taglione | Psychologist | 420 W. Grand Avenue, Lake Villa, IL 60046 | 2007-03-27 |
| 1265568224 | Steven Douglas Kulb | Psychologist | 420 West Grand Avenue, Lake Villa, IL 60046 | 2007-02-26 |
| 1467597245 | Cheryl Lynn Stenzel | Psychologist | 420 Grand Avenue, Lake Villa, IL 60046 | 2007-02-20 |
| 1235279761 | Linda Paull | Psychologist | 420 W. Grand Ave., Lake Villa, IL 60046 | 2007-02-07 |
| 1013061761 | Catherine Anne Mcconnell | Psychologist | 420 W Grand Ave, Bradley Counseling Center, Lake Villa, IL 60046 | 2007-01-22 |
| 1790709178 | George Winston Lutz | Psychologist | 95 W Grand Ave, Suite 205, Lake Villa, IL 60046-8641 | 2006-07-27 |
| 1487823209 | Laura Nancy Ogurek | Psychologist | 420 W Grand Ave, Lake Villa, IL 60046-8664 | 2008-02-26 |
| Find all providers in LAKE VILLA | ||||
| City | LAKE VILLA |
| Zip Code | 60046 |
Please comment or provide details below to improve the information on DR. LAURA ANN BENTON.
| 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.