DR. MICHELLE BENE BAIN (NPI# 1548377252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548377252 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE BENE BAIN |
| Credential | M.D. |
| Practice Address |
808 S Wood St Rm 376 Chicago IL 60612-7300 |
| Mailing Address |
4500 W Berteau Ave Chicago IL 60641-1908 |
| Practice Telephone | 3129966966 |
| Practice Fax Number | 3129961188 |
| Mailing Telephone | 7732833677 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
808 S WOOD ST RM 376 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922397462 | Karina La'o Vivar | Dermatology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2011-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679585210 | Liborka Kos | Dermatology | 701 Woodlands Pkwy, Suite 200, Vernon Hills, IL 60061-3101 | 2006-08-12 |
| 1477515807 | Annette M Wagner | Dermatology | 2301 Enterprise Drive, #81, Westchester, IL 60154 | 2006-04-03 |
| 1700045713 | Joel Christopher Joyce | Dermatology | 9933 Woods Dr, Skokie, IL 60077-1049 | 2008-06-04 |
| 1356517221 | Children's Physician Group | Dermatology | 2500 Ridge Ave, Suite 109, Evanston, IL 60201-2455 | 2008-05-01 |
| 1548436413 | Children's Physician Group | Dermatology | 2401 Ravine Way, Suite 101, Glenview, IL 60025-7645 | 2008-05-01 |
| 1053586180 | Children's Hospital of Wisconsin Clinics-vernon Hills | Dermatology | 701 Woodlands Pkwy, Suite 200, Vernon Hills, IL 60061-3101 | 2008-04-29 |
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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.