David J. Benditzson, M.D., LTD.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036040406 Issued in IL

Legal business name

DAVID J. BENDITZSON, M.D., LTD.

Practice address

55 E Washington St Ste 2903
Chicago, IL 60602-2268

Phone

(312) 266-1222

Fax

(312) 541-2810

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Jerome Benditzson, M.D.NPI 1518946656

Title

President

Phone

(312) 266-1222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• David J Benditzson, M.D.

  • Specialist
  • Chicago, IL
  • NPI 1518946656
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1760627137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E WASHINGTON ST STE 2903",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022268",
            "telephone_number": "312-266-1222",
            "fax_number": "312-541-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E WASHINGTON ST STE 2903",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022268",
            "telephone_number": "312-266-1222",
            "fax_number": "312-541-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. BENDITZSON, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "BENDITZSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-266-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036040406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Demetri Kelner
• David Gilbert Oser DDS PC
• David H Baukol DDS PC
• David Hoover, PSYD, PC
• David I Siegal Enterprises Inc
• David J. Greenberg, PHD, LTD
• David J. Palmer, M.D., S.C.
• David K Mayes D.D.S L.T.D.
• David K. Zich, MD, SC
• David L Fishman MD SC

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.