DR. JEAN BENOIT HOULE (NPI# 1639146103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639146103 |
| Entity Type | Individual |
| Full Name | DR. JEAN BENOIT HOULE |
| Credential | M.D. |
| Practice Address |
4121 Veterans Memorial Dr Mount Vernon IL 62864-6262 |
| Practice Telephone | 6182423778 |
| Practice Fax Number | 6182422551 |
| Mailing Telephone | 6182423778 |
| Mailing Fax Number | 6182422551 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2009-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036097382 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036097382 | 05 |
| Street Address |
4121 VETERANS MEMORIAL DR |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147161 | Hayden Klockenga | Physical Therapist | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2020-02-27 |
| 1689223729 | Braedon Haertling | Physician Assistant | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2019-09-11 |
| 1669943882 | Orthopaedic Center of Southern Illinois, Ltd. | Durable Medical Equipment & Medical Supplies | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2018-12-16 |
| 1336680925 | Jamie Smith | Nurse Practitioner | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2017-03-15 |
| 1629447529 | Crystal Tyson | Occupational Therapist | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2015-09-21 |
| 1093197410 | Melanie Cross | Nurse Practitioner | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2015-06-22 |
| 1144600669 | Stephanie Schaubert | Physical Therapist | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2015-06-01 |
| 1336412527 | Scott Murfin | Physical Therapist | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2012-02-17 |
| 1144526963 | Devin D Haertling | Physician Assistant | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2011-01-27 |
| 1366775025 | Angela K Oglesby | Occupational Therapist | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048395 | Dr Ouilife LLC | Orthopaedic Surgery | 640 S Federal St Apt 410, Chicago, IL 60605-1800 | 2020-03-18 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1568851251 | Benjamin Scott Kester | Orthopaedic Surgery | 1725 W Harrison St Ste Rush, Chicago, IL 60612-3841 | 2015-01-18 |
| 1609041565 | Sheryl Lynn Lipnick | Orthopaedic Surgery | 1585 N. Barrington Rd Ste 101, Drs. Bldg. 2, Hoffman Estates, IL 60169-5019 | 2008-04-22 |
| 1295937555 | Gregory Lamar Primus | Orthopaedic Surgery | 7543 183rd St, Tinley Park, IL 60477-6208 | 2007-05-31 |
| 1154454635 | Benjamin Domb | Orthopaedic Surgery | 999 E Touhy Ave Ste 450, Des Plaines, IL 60018-2748 | 2007-03-13 |
| 1518981612 | Sean Daniel Odell | Orthopaedic Surgery | 375 S Roselle Rd, Schaumburg, IL 60193-5544 | 2006-07-26 |
| 1568419463 | Mark K. Bowen | Orthopaedic Surgery | 680 N Lake Shore Dr Ste 924, Chicago, IL 60611 | 2006-05-27 |
| 1093792277 | Scott Eric Urch | Orthopaedic Surgery | 503 E Grant St, Macomb, IL 61455-3313 | 2005-12-28 |
| 1518943018 | Jeffrey A. Murray | Orthopaedic Surgery | 555 Biesterfield Road, Elk Grove Village, IL 60007-3306 | 2005-12-16 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.