Individual provider Active NPI

Barbara Benton, M.D.

  • Psychiatry Physician
  • Woodridge, IL
National Provider Identifier
1073612941
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036095935 Issued in IL
Practice address
3510 Hobson Rd Ste 302
Woodridge, IL 60517-1442
Phone
(630) 886-5770
Fax
(866) 415-1201
NPI assigned
Sep 21, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036095935 IL Primary

Addresses

Primary practice location

3510 Hobson Rd Ste 302
Woodridge, IL 60517-1442

Mailing address

3510 Hobson Rd Ste 302
Woodridge, IL 60517-1442
Phone (630) 886-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000193 IL Practitioner - Psychiatry 9537061494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loyola University of Chicago, Stritch School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3510 Hobson Rd
Suite 302
Woodridge, IL 60517-1442
Phone (630) 886-5770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036095935ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Clinic LTD Psychiatry CurrentSince Nov 17, 2003 Accepting new patients
Meadows Outpatient Center Illinois LLC Past Accepting new patients

Locations

1220 Iroquois Ave
Ste 207
Naperville, IL 60563
Phone (630) 272-4717

3510 Hobson Rd
Ste 302
Woodridge, IL 60517
Phone (630) 886-5770

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1073612941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 HOBSON RD STE 302",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171442",
            "telephone_number": "630-886-5770",
            "fax_number": "866-415-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 HOBSON RD STE 302",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171442",
            "telephone_number": "630-886-5770",
            "fax_number": "866-415-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "BARBARA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036095935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

Verify at the official NPI Registry.