Ashley Rose Benain
Individual provider Active NPI Pharmacist · Hillside, IL
NPI 1962077602 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1962077602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.298722 (IL)
- Practice address
- 150 Fencl LN
Hillside, IL 60162-2041 - Phone
- (708) 449-7600
- NPI assigned
- May 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.298722 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 051.298722 | IL | Yes |
Addresses
Primary practice location
150 Fencl LN
Hillside, IL 60162-2041
Mailing address
860 W Blackhawk St Unit 1907
Chicago, IL 60642-2513
Other providers in Hillside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. 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.