Active NPI
Andrea D. Bennett, M.D.
- Obstetrics & Gynecology Physician
- Arlington Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036093312
- Practice address
- 800 W. Central Road
Northwest Community Hospital
Arlington Heights, IL 60005 - Phone
- (847) 618-1000
- NPI assigned
- Jun 8, 2006
- Last updated
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036093312 | IL | Primary |
Addresses
Primary practice location
800 W. Central Road
Northwest Community Hospital
Arlington Heights, IL 60005
Mailing address
520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abennett6665@direct.nch.org |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036093312 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Community Health Services Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Northwest Community Health Services Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Women's Healthfirst L.L.C | Obstetrics & Gynecology | Past | Accepting new patients |
| Northwest Community Physicians Association LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860
600 W Lake Cook Rd
Ste 120
Buffalo Grove, IL 60089
Phone 8478088884 ext. 8134
25233 Network Pl
Chicago, IL 60673
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
Interoperability endpoints
- abennett6665@direct.nch.org
Organizations & group practices 6
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.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
Obstetrics & Gynecology
-
dba NCH Medical Group
- Internal Medicine Physician
- Arlington Heights, IL
- NPI 1134433154
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba NCH Medical Group
- Obstetrics Physician
- Arlington Heights, IL
- NPI 1467057513
-
- Obstetrics & Gynecology Physician
- Arlington Heights, IL
- NPI 1861432932
-
- Obstetrics & Gynecology Physician
- Buffalo Grove, IL
- NPI 1710959721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1093755670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 22ND ST",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486110",
"telephone_number": "630-874-2542",
"fax_number": "630-874-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W. CENTRAL ROAD",
"address_2": "NORTHWEST COMMUNITY HOSPITAL",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60005",
"telephone_number": "847-618-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "ANDREA",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036093312",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abennett6665@direct.nch.org",
"affiliation": "N",
"address_1": "800 W. Central Road",
"address_2": "Northwest Community Hospital",
"city": "Arlington Heights",
"state": "IL",
"country_code": "US",
"postal_code": "60005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.