Allison Benthal D.O. S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ALLISON BENTHAL D.O. S.C.

Practice address

1893 Daimler Rd
Rockford, IL 61112-1081

Phone

(815) 381-1004

Fax

(815) 381-1007

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Allison Benthal

Title

Physician

Phone

(815) 381-1004

Specialties & licenses 1

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Klotzbuecher, D.O.

  • Internal Medicine Physician
  • Libertyville, IL
  • NPI 1437170552
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104014075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 STRATHMOOR DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075180",
            "telephone_number": "815-381-1004",
            "fax_number": "815-381-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 DAIMLER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121081",
            "telephone_number": "815-381-1004",
            "fax_number": "815-381-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON BENTHAL D.O. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BENTHAL",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-381-1004",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Paul Allen, DDS
• Rick W Allen, C.O.
• Ronald Allen, RPH
• Susan D Allen, MS LCPC
• Arlyn O Alley, LPT
• Allison Bozovsky, LMFT, LLC
• Laura Lynn Allman, LCSW
• Along the Path Counseling Services P.C.
• Alpine Fireside Health Center LTD
• Hajir Alsamraay

• All providers in Rockford, IL
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.