Organization Active NPI

Corazon R Benig MD SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1013168020
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036045330 Issued in IL
Legal business name
CORAZON R BENIG MD SC
Practice address
1222 W 95TH St
Chicago, IL 60643-1408
Phone
(773) 445-8155
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah York
Title
Office Manager
Phone
(773) 445-8155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036045330 IL Primary

Addresses

Primary practice location

1222 W 95TH St
Chicago, IL 60643-1408

Mailing address

1222 W 95TH St
Chicago, IL 60643-1408
Phone (773) 445-8155

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1013168020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431408",
            "telephone_number": "773-445-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431408",
            "telephone_number": "773-445-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON R BENIG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-445-8155"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036045330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.