DR. VINCENT RAFER BENIG (NPI# 1487609772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487609772 |
| Entity Type | Individual |
| Full Name | DR. VINCENT RAFER BENIG |
| Credential | M.D. |
| Practice Address |
1144 W Jefferson St Ste 200 Shorewood IL 60404-0704 |
| Practice Telephone | 8157291010 |
| Practice Fax Number | 8885233001 |
| Mailing Telephone | 8157291010 |
| Mailing Fax Number | 8885233001 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036105160 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036105160 | 05 | |
| IL | BCBS GRP PROVIDER NUMBER | 0001635931 | 01 |
| Street Address |
1144 W JEFFERSON ST STE 200 |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60404-0704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
| 1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
| 1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
| 1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
| 1043567720 | Matthew Reiot Klebenow | Occupational Therapist | 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 | 2012-08-13 |
| 1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
| 1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
| 1932386810 | Advanced Family Dental of Shorewood, P.C. | Dentist | 150 N Brook Forest Drive, Shorewood, IL 60404 | 2008-01-23 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
| Find all providers in zip 60404 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972834679 | Vincent R Benig Md Ltd | Family Medicine | 1144 W Jefferson St Ste 200, Shorewood, IL 60404-1700 | 2010-01-19 |
| 1013175801 | Marvin Wiener | Family Medicine | 2021 E Wood Pl, Shorewood, WI 53211-2015 | 2008-05-28 |
| 1992747091 | William L Hall Jr. | Family Medicine | 4027 N Oakland Ave, Shorewood, WI 53211-2356 | 2006-06-12 |
| 1811429459 | Kathryn Kaminski | Family Medicine | 4027 N Oakland Ave, Shorewood, WI 53211-2356 | 2017-04-02 |
| 1306280276 | Chelsea Loran Holtz | Family Medicine | 4027 N Oakland Ave, Shorewood, WI 53211-2356 | 2013-04-23 |
| 1184913055 | Adam E. Blackwell | Family Medicine | 4027 N Oakland Ave, Shorewood, WI 53211-2356 | 2011-03-31 |
| 1679729131 | Sarah M Kim | Family Medicine | 19685 Highway 7, Shorewood, MN 55331 | 2008-08-14 |
| 1679655005 | Wheaton Franciscan Medical Group | Family Medicine | 3970 N Oakland Ave, Shorewood, WI 53211-2265 | 2006-10-19 |
| 1568578052 | Pamela Ogor | Family Medicine | 3970 N Oakland Ave, 2nd Floor, Shorewood, WI 53211-2265 | 2006-08-21 |
| 1881638724 | Kim A Merriman | Family Medicine | 4027 N Oakland Ave, Shorewood, WI 53211-2356 | 2006-06-15 |
| Find all providers in SHOREWOOD | ||||
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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.