DR. JEAN BENOIT HOULE


Address: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262
Phone: 6182423778

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
036097382 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036097382 05

Office Location

Street Address 4121 VETERANS MEMORIAL DR
City MOUNT VERNON
State IL
Zip Code 62864-6262

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

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

Providers in the same taxonomy and state

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
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Competitor

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City MOUNT VERNON
Zip Code 62864

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Dataset Information

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.

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