E Eliot Benezra MDSC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036034882 Issued in IL

Legal business name

E ELIOT BENEZRA MDSC

Practice address

120 Oakbrook Ctr
Suite 200
Oak Brook, IL 60523-1806

Phone

(630) 571-8118

Fax

(630) 572-0626

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

E Eliot Benezra, M.D.

Title

Psychiatrist/President

Phone

(630) 571-8118

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1144499328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OAKBROOK CTR",
            "address_2": "SUITE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-571-8118",
            "fax_number": "630-572-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAKBROOK CTR",
            "address_2": "SUITE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-571-8118",
            "fax_number": "630-572-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E ELIOT BENEZRA MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "BENEZRA",
        "authorized_official_first_name": "E ELIOT",
        "authorized_official_title_or_position": "PSYCHIATRIST/PRESIDENT",
        "authorized_official_telephone_number": "630-571-8118",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036034882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0002200281",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036034882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dupage Medical Care and Therapy
• Riley Nina Duran
• Zia U Durrani, MD
• Samantha Duveneck, APRN
• Dynamic Physical Therapy (Body Gears - Oak Brook)
• Seth Ashok Eappen, M.D.
• Jennifer Renee Earnest, LCPC, NCC, CCMHC
• Ryan Nickolas Edwards, NONE
• Mary Ann Egan-Kramer, BSN,DDS
• Ehs Home Health Care Service Inc (Advocate Home Health Services)

• Psychiatry Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Psychiatry Physician in Illinois

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