Jorge A Benavente (NPI# 1952409583, PAC ID# 9234270117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1952409583 |
| PAC ID by PECOS | 9234270117 |
| Professional Enrollment ID | I20100114000383 |
| Full Name | Jorge A Benavente |
| Organization Legal Name | J A BENAVENTE OD PC |
| Address |
4005 167th St Country Club Hills IL 60478-2071 |
| Phone Number | 7087991000 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1977 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2860533742 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4005 167th St, Country Club Hills, IL 60478-2071 | 7087991000 | J A BENAVENTE OD PC |
| 9175 Calumet Ave, Munster, IN 46321-2805 | 2198367800 | J A BENAVENTE OD PC |
| Organization Legal Name | J A BENAVENTE OD PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanna E Acosta | Optometry | J A Benavente Od PC | 9175 Calumet Ave, Munster, IN 46321-2805 |
| Bessie J Anthony | Optometry | J A Benavente Od PC | 4005 167th St, Country Club Hills, IL 60478-2071 |
| Street Address |
4005 167TH ST |
| City | COUNTRY CLUB HILLS |
| State | IL |
| Zip | 60478-2071 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bessie J Anthony | Optometry | J A Benavente Od PC | 4005 167th St, Country Club Hills, IL 60478-2071 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annell S Tucker | Podiatry | 4808 Sunset Ln, Country Club Hills, IL 60478-4574 | |
| Latoya Nashage Glass-sherman | Chiropractic | 4023 183rd St, Country Club Hills, IL 60478-5306 |
| City | COUNTRY CLUB HILLS |
| Zip Code | 60478 |
| Specialty | OPTOMETRY |
| City + Specialty | COUNTRY CLUB HILLS + OPTOMETRY |
Please comment or provide details below to improve the information on Jorge A Benavente.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.