ENRICO BENEDETTI (NPI# 1770689143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770689143 |
| Entity Type | Individual |
| Full Name | ENRICO BENEDETTI |
| Credential | MD |
| Practice Address |
1801 W Taylor St 3f Occ Mc 741 Chicago IL 60612-4795 |
| Mailing Address |
840 S Wood St 402 Csb, Mc 958 Chicago IL 60612-4325 |
| Practice Telephone | 8666002273 |
| Mailing Telephone | 3129966771 |
| Mailing Fax Number | 3124133483 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 036.083963 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036083963 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036.083963 | 05 |
| Street Address |
1801 W TAYLOR ST 3F OCC MC 741 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992790828 | Julia Corcoran | Surgery | 1801 W Taylor St, 3f Occ Mc 741, Chicago, IL 60612-4795 | 2005-09-16 |
| 1659986982 | Rebekah Nailor-zee | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-09-14 |
| 1245856442 | Tara Kristen Maga | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-06-23 |
| 1427678606 | Lauren Grieco | Physical Therapist | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-04-17 |
| 1255993887 | Katherine Josephine Cobian | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2019-07-03 |
| 1689130494 | Anna Titcomb | Dietitian, Registered | 1801 W Taylor St, Chicago, IL 60612-4795 | 2019-02-17 |
| 1740757012 | Jessica Spitelli | Nurse Practitioner | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-10-25 |
| 1255807400 | Alexus Ann Bushee | Physician Assistant | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-10-15 |
| 1114417995 | Madelyn Katz | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-05-16 |
| 1013413301 | Diana Lorena Bejarano Pineda | Student in an Organized Health Care Education/Training Program | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-04-04 |
| Find all providers in the same location | ||||
| 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 | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992739 | Pierpaolo Di Cocco | Transplant Surgery | 4041 N Keystone Ave Apt A, Chicago, IL 60641-5556 | 2017-10-04 |
| 1790203057 | Rosario Angelica Perez Gutierrez | Transplant Surgery | 5841 S Maryland Ave # 5027, Chicago, IL 60637-1443 | 2017-09-06 |
| 1790913093 | Inbo Shim | Transplant Surgery | 5841 S Maryland Ave # J517, Chicago, IL 60637-1447 | 2009-06-24 |
| 1568664555 | Ivo Georgiev Tzvetanov | Transplant Surgery | 840 S. Wood Street - Mc 958, Ste 402, Chicago, IL 60612-4325 | 2007-06-03 |
| 1558471862 | Dympna M Kelly | Transplant Surgery | 5841 S Maryland Ave # Mc5026, Chicago, IL 60637-1443 | 2006-08-30 |
| 1124050406 | Joseph R Leventhal | Transplant Surgery | 676 N Saint Clair St Fl 19, Chicago, IL 60611-2927 | 2006-07-07 |
| 1861435182 | Rolf N. Barth | Transplant Surgery | 5841 S Maryland Ave Ste J-517, Chicago, IL 60637-1443 | 2006-06-14 |
| 1164477345 | Peter F Whitington | Transplant Surgery | 2300 Children's Plaza, Box 57, Chicago, IL 60614-3394 | 2006-05-24 |
| 1386600617 | Joshua Miller | Transplant Surgery | Northwestern University, Fienberg School of Medicine, 303 East Chicago Avenue, Chicago, IL 60611-1005 | 2006-04-25 |
| 1255311577 | Talia Baker | Transplant Surgery | 5841 S. Maryland Avenue, Mc 5030, Chicago, IL 60637 | 2006-01-20 |
| Find all providers in CHICAGO | ||||
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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.