Dr Jose -Daniel Benatar M D

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036-106878 Issued in IL

Legal business name

DR JOSE -DANIEL BENATAR M D

Practice address

1200 W Monroe St
Apt 708
Chicago, IL 60607-2565

Phone

(773) 257-6840

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Veronica Baker

Title

Coordinator

Phone

(847) 251-2400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1174876429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W MONROE ST",
            "address_2": "APT 708",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072565",
            "telephone_number": "773-257-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MONROE ST",
            "address_2": "APT 708",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072565",
            "telephone_number": "773-257-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOSE -DANIEL BENATAR M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "847-251-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-106878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106878",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.