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).
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 |
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 |
Street Address |
912 NORTHWEST HWY SUITE 7- ATTN RAYLENE BOYD |
City | FOX RIVER GROVE |
State | IL |
Zip Code | 60021-1925 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477549038 | Internal Medicine Associates Sc | Internal Medicine | 912 Northwest Hwy, Suite 107, Fox River Grove, IL 60021-1925 | 2005-09-20 |
1306498175 | Vanessa Manzo | Nurse Practitioner | 912 Northwest Hwy, Fox River Grove, IL 60021-1925 | 2019-07-11 |
1841660479 | Anna Lincheck | Nurse Practitioner | 912 Northwest Hwy, Suite 4, Fox River Grove, IL 60021-1925 | 2015-09-24 |
1891177838 | Steven Kipferl | Podiatrist | 912 Northwest Hwy, Ste G6, Fox River Grove, IL 60021 | 2015-06-26 |
1336577816 | Barrington Vein Center LLC | Internal Medicine | 912 Northwest Hwy, Suite 100, Fox River Grove, IL 60021-1925 | 2013-10-21 |
1962707117 | Debbie Leesa Weiss | Internal Medicine | 912 Northwest Hwy, Suite 107, Fox River Grove, IL 60021-1925 | 2011-01-19 |
1609182344 | Tri-county Podiatry Associates Ltd | Podiatrist | 912 Northwest Hwy, Suite G-6, Fox River Grove, IL 60021-1925 | 2010-08-19 |
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 |
1831372507 | Robert Schwartzenberg Md PC | Internal Medicine | 912 Northwest Hwy, Ste. 206, Fox River Grove, IL 60021-1925 | 2007-12-17 |
Find all providers in the same location |
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 |
Find all providers in zip 60021 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
Find all providers with the same taxonomy |
City | FOX RIVER GROVE |
Zip Code | 60021 |
Please comment or provide details below to improve the information on CAROL MAIN-BENNER.
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.