CAROL MAIN-BENNER


Address: 912 Northwest Hwy, Suite 7- Attn Raylene Boyd, Fox River Grove, IL 60021-1925
Phone: 8478291600

CAROL MAIN-BENNER (NPI# 1366453698) 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) 1366453698
Entity Type Individual
Full Name CAROL MAIN-BENNER
Credential NP
Practice Address 912 Northwest Hwy
Suite 7- Attn Raylene Boyd
Fox River Grove
IL 60021-1925
Mailing Address 1919 S Highland Ave
#b202-attn Raylene Boyd
Lombard
IL 60148-6153
Practice Telephone 8478291600
Mailing Telephone 6308737305
Enumeration Date 2006-08-11
Last Update Date 2008-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
209-003422 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 912 NORTHWEST HWY
SUITE 7- ATTN RAYLENE BOYD
City FOX RIVER GROVE
State IL
Zip Code 60021-1925

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1891177838 Steven Kipferl Podiatrist 912 Northwest Hwy, Ste G6, Fox River Grove, IL 60021 2015-06-26
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1962707117 Debbie Leesa Weiss Internal Medicine 912 Northwest Hwy, Suite 107, Fox River Grove, IL 60021-1925 2011-01-19
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1437394590 Christy Cardiology Ltd Internal Medicine 912 Northwest Hwy, Suite 4, Fox River Grove, IL 60021-1925 2008-12-03
1376704676 Nehru Murati Internal Medicine 912 Northwest Hwy, Suite 107, Fox River Grove, IL 60021-1925 2008-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003385717 Fenglan Chen Acupuncturist 902 W Route 22, Fox River Grove, IL 60021 2018-11-26
1053580357 Ultra Care Inc Durable Medical Equipment & Medical Supplies 906 Illinois Rt 22, Fox River Grove, IL 60021 2008-02-21
1962532150 James E Hutchins Specialist 912 Northwest Highwya, Suite 104, Hutchins Naprapathic Clinic, P.C., Fox River Grove, IL 60021 2007-03-06
1598807075 Pediatric Associates of Barrington, S.c. Clinic/Center 912 Northwest Highway, Suite G-7, Fox River Grove, IL 60021 2007-02-13
1487724845 Linda A Yasukawa Physical Therapist 922 Route 22, Fox River Grove, IL 60021 2006-11-09
1780763516 Sunil N Kadakia Internal Medicine 912 W Northeast Hwy, #100, Fox River Grove, IL 60021 2006-11-03
1154431765 Bryan David Stahl Dentist 1109 Lincoln Ave, Fox River Grove, IL 60021 2006-08-30
1245657568 American Drug Stores LLC Durable Medical Equipment & Medical Supplies 800 Northwest Hwy, Fox River Grove, IL 60021 2014-03-25
1134382468 Margaret B Stefani Pediatrics 912 Northwest Highway, Suite G-7, Fox River Grove, IL 60021 2008-07-07
1467531293 Irina Staicu Internal Medicine 912 W Northeast Hwy, #100, Fox River Grove, IL 60021 2006-11-03
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City FOX RIVER GROVE
Zip Code 60021

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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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