TUCKER BENJAMIN (NPI# 1407122591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407122591 |
| Entity Type | Individual |
| Full Name | TUCKER BENJAMIN |
| Credential | MS, PA-C |
| Practice Address |
4885 Hoffman Blvd Hoffman Estates IL 60192-3726 |
| Practice Telephone | 8472559697 |
| Practice Fax Number | 8472553206 |
| Mailing Telephone | 8472559697 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085005769 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3705 Deerfield Rd, Riverwoods, IL 600153540 | 8479479000 | |
| 2222 14th St, Waukegan, IL 600857708 | 8472492400 | |
| 2217 Washington St, Waukegan, IL 600855060 | 8472444100 | |
| 15 Tower Ct Ste 255, Gurnee, IL 600313336 | 8476726391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477003127 | Tucker J Benjamin | Specialist/Technologist | W11052 457th Ave, Prescott, WI 54021-7657 | 2016-10-06 |
| Street Address |
4885 HOFFMAN BLVD |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60192-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578543492 | Kathleen M Zabor | Physician Assistant | 4885 Hoffman Blvd, Suite 400, Hoffman Estates, IL 60192-3722 | 2006-01-18 |
| 1215383666 | Beaird Dermatology S C | Dermatology | 4885 Hoffman Blvd, Suite #407, Hoffman Estates, IL 60192-3726 | 2016-05-04 |
| 1144642141 | Stephanie Meyers | Physician Assistant | 4885 Hoffman Blvd, Suite 400, Hoffman Estates, IL 60192-3726 | 2014-01-09 |
| 1750719944 | Callie Dahleen | Dermatology | 4885 Hoffman Blvd, Ste 407, Hoffman Estates, IL 60192-3726 | 2013-10-24 |
| 1568719615 | Gloria Kim | Physician Assistant | 4885 Hoffman Blvd, 400, Hoffman Estates, IL 60192-3726 | 2012-08-08 |
| 1679704498 | Kathryn E Weltzin | Physician Assistant | 4885 Hoffman Blvd, Suite 400, Hoffman Estates, IL 60192-3722 | 2009-07-28 |
| 1659517704 | Merit Center for Sleep Health of Prairie Stone, LLC | Clinic/Center | 4885 Hoffman Blvd, Suite 450, Hoffman Estates, IL 60192 | 2008-12-19 |
| 1275622888 | Stephanie Tracey | Physician Assistant | 4885 Hoffman Blvd, Suite #407, Hoffman Estates, IL 60192-3726 | 2006-10-12 |
| 1245259142 | Leslie J.m. Beaird | Dermatology | 4885 Hoffman Blvd, Suite 407, Hoffman Estates, IL 60192-3726 | 2006-07-19 |
| 1891720868 | Peter C. Schorr | Physician Assistant | 4885 Hoffman Blvd, Suite 400, Hoffman Estates, IL 60192-3726 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205202009 | Premier Health Consultants Inc | Internal Medicine | 2815 Forbs Avenue Suite 107, Hoffman Estates, IL 60192 | 2015-08-15 |
| 1235536350 | Naomi Lockett | Nurse Practitioner | 2815 Forbs Ave Ste 134, Hoffman, IL 60192 | 2014-12-04 |
| 1548693229 | Kathryn Kmiecik | Counselor | 1595 Chesapeake Drive, Hoffman Estates, IL 60192 | 2013-08-16 |
| 1184919508 | James Lassiter Quertermous | Dermatology | 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192 | 2011-06-14 |
| 1760692347 | Alan S Panares | Specialist/Technologist, Other | 1245 Mallard Ln, Hoffman Estates, IL 60192 | 2007-05-23 |
| 1518172576 | William John Becker | Dentist | 2630 New Sutton Rd, Hoffman Estates, IL 60192 | 2007-05-13 |
| 1144384306 | Kenneth L Kite | Dentist | 1722 W Algonquin Road, Hoffman Estates, IL 60192 | 2006-12-21 |
| 1760577142 | Elizabeth A. Doyle | Counselor | 3530 Winston Drive, Hoffman Estates, IL 60192 | 2006-10-03 |
| 1558317230 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1489 Palatine Rd, Hoffman Estates, IL 60192 | 2006-05-25 |
| 1265865950 | Soojin Jun | Pharmacist | 4469 Huntington Blvd, Hoffman Estates, IL 60192-1001 | 2013-08-16 |
| Find all providers in zip 60192 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811054620 | Avni Patel | Physician Assistant | 1555 N Barrington Rd., Dob 3, Suite 4100, Hoffman Estates, IL 60169 | 2007-01-02 |
| 1518572205 | Jarod Michael Schieler | Physician Assistant | 1721 Moon Lake Blvd Ste 150, Hoffman Estates, IL 60169-1070 | 2020-09-10 |
| 1831736495 | Leah Kay Paeth | Physician Assistant | 1585 Barrington Rd Ste 505, Hoffman Estates, IL 60169-5020 | 2019-12-03 |
| 1427514819 | Haley Sheehey | Physician Assistant | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2019-02-11 |
| 1538671151 | Simi Mahmood | Physician Assistant | 136 W Higgins Rd, Hoffman Estates, IL 60169-4914 | 2017-11-05 |
| 1528510278 | Jennifer O'shea | Physician Assistant | 1555 Barrington Rd, Dob 3 Suite 4100, Hoffman Estates, IL 60169-1019 | 2016-10-28 |
| 1689039356 | Nicole Szulc-cieplicki | Physician Assistant | 2500 W Higgins Rd, Suite 1040, Hoffman Estates, IL 60169-7220 | 2015-12-23 |
| 1982980421 | Anna Kawa | Physician Assistant | 1585 Barrington Rd, Suite 606, Hoffman Estates, IL 60169-1090 | 2011-10-28 |
| 1275622888 | Stephanie Tracey | Physician Assistant | 4885 Hoffman Blvd, Suite #407, Hoffman Estates, IL 60192-3726 | 2006-10-12 |
| 1952492829 | Isabelle Kristen Badillo | Physician Assistant | 1585 Barrington Rd, 605, Hoffman Estates, IL 60169-1090 | 2006-09-27 |
| Find all providers in HOFFMAN ESTATES | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60192 |
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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.