KATHLEEN MARIE BENSON (NPI# 1376096115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376096115 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARIE BENSON |
| Credential | DNP, CPNP |
| Practice Address |
721 W Lake St Addison IL 60101-2035 |
| Mailing Address |
1s561 Cotuit Ct Glen Ellyn IL 60137-6410 |
| Practice Telephone | 6307574010 |
| Mailing Telephone | 3129142718 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014385 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209014385 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 290 W Loop Rd, Wheaton, IL 601892034 | 6308683621 | |
| 7451 Woodward Ave, Woodridge, IL 605172665 | 6307240357 | 6307240359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194260851 | Kathleen Benson | Occupational Therapy Assistant | 23 Mohican Ter, Hudson Falls, NY 12839-1135 | 2017-01-04 |
| 1598901282 | Kathleen Mary Benson | Marriage & Family Therapist | 360 Sierra College Dr Ste 220, Grass Valley, CA 95945 | 2008-12-30 |
| 1811028236 | Kathleen M. Benson | Registered Nurse | Catalina Foothills U.S.d., 2101 E River Rd, Tucson, AZ 85718-6508 | 2007-03-08 |
| 1225085723 | Kathleen Christie Benson | Physical Therapist | 311 Palomino Dr, Newark, DE 19711-8310 | 2006-05-28 |
| 1306821517 | Kathleen Marie Benson | Nurse Practitioner | 3200 Shore Dr, Marinette, WI 54143-4292 | 2005-12-09 |
| 1447600093 | Kathleen Benson | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2016-06-14 |
| 1699133843 | Kathleen Benson | Nurse Anesthetist, Certified Registered | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2016-02-03 |
| 1265615165 | Kathleen M Benson | Counselor | 118 N 5th St, Oneill, NE 68763-1565 | 2007-12-13 |
| 1235207309 | Kathleen Marie Benson | Family Medicine | 4432 S Eastern Ave, Las Vegas, NV 89119 | 2006-11-30 |
| Street Address |
721 W LAKE ST |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942344114 | Jill Whelan | Nurse Practitioner | 721 W Lake St, Suite 202, Addison, IL 60101-2035 | 2007-02-19 |
| 1952830200 | Brittney Ann Segoviano | Counselor | 721 W Lake St, Addison, IL 60101-2035 | 2017-06-09 |
| 1538539234 | Natures Wellness Co | Chiropractor | 721 W Lake St, Suite 201, Addison, IL 60101-2035 | 2015-10-07 |
| 1962870543 | Margaret Kwiatkowski | Counselor | 721 W Lake St, Suite 100, Addison, IL 60101-2035 | 2015-09-12 |
| 1083096127 | Amanda Lynn Bose | Chiropractor | 721 W Lake St, Suite 201, Addison, IL 60101-2035 | 2015-06-25 |
| 1275930521 | Behavioral Education and Treatment, Inc. | Community/Behavioral Health | 721 W Lake St, Suite 100, Addison, IL 60101-2035 | 2014-12-02 |
| 1962728386 | A To Z Pediatric and Youth Healthcare | Clinic/Center | 721 W Lake St, Suite 202, Addison, IL 60101-2035 | 2010-04-09 |
| 1821272659 | Robert A Massopust | Physical Therapist | 721 W Lake St, Suite 110, Addison, IL 60101-2035 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1942344114 | Jill Whelan | Nurse Practitioner | 721 W Lake St, Suite 202, Addison, IL 60101-2035 | 2007-02-19 |
| 1811098627 | Patricia Alden Flateau | Nurse Practitioner | 5015 Addison Cir, #428, Addison, TX 75001-3308 | 2006-09-26 |
| 1396047668 | Maria Carmen Del Cid | Nurse Practitioner | 1111 W Lake St, Addison, IL 60101-1101 | 2010-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
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| 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.