Individual provider Active NPI

Binyamin Rister

  • Clinical Social Worker
  • Lincolnwood, IL
National Provider Identifier
1770313009
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149027276 Issued in IL
Practice address
7373 N Lincoln Ave
Lincolnwood, IL 60712-1715
Phone
(773) 887-6150
NPI assigned
Aug 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149027276 IL Primary

Addresses

Primary practice location

7373 N Lincoln Ave
Lincolnwood, IL 60712-1715

Mailing address

6134 N Bernard St
Chicago, IL 60659-2212
Phone (773) 541-1813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816001736 IL Practitioner - Clinical Social Worker 1658819073 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nexumhc Consultants, PLLC Clinical CurrentSince Jun 25, 2024 Accepting new patients

Locations

1426 W Birchwood Ave
Chicago, IL 60626
Phone (773) 274-4405

2625 W Touhy Ave
Chicago, IL 60645
Phone (773) 907-1818

7373 N Lincoln Ave
Ste 400
Lincolnwood, IL 60712
Phone (219) 805-3593

7373 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 887-6150

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1770313009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 N BERNARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592212",
            "telephone_number": "773-541-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121715",
            "telephone_number": "773-887-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTER",
        "first_name": "BINYAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.