Mark G Benedict, RN
Individual provider Active NPI Critical Care Medicine Registered Nurse · Greenfield, IL
NPI 1154558542 · NPPES record last updated Jun 12, 2009
Key facts
- NPI
- 1154558542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- 041314705 (IL)
- Practice address
- 519 Main St
Greenfield, IL 62044-1321 - Phone
- (217) 358-3075
- NPI assigned
- Jun 12, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041314705 | IL | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 041314705 | IL | Yes |
Addresses
Primary practice location
519 Main St
Greenfield, IL 62044-1321
Mailing address
519 Main St
Greenfield, IL 62044-1321
Phone (217) 358-3075
Other providers in Greenfield, IL
- Lisa Diane Goode
- Greenfield Cu School Dist 10
- Michon Lea Hawkins
- Donald J Hawrysz
- Pharmacy Plus, Inc.
All providers in Greenfield, IL · Critical Care Medicine Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.