Organization Active NPI

Zion Benton Children'S Service

  • General Practice Dentistry
  • Zion, IL
National Provider Identifier
1962674978
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ZION BENTON CHILDREN'S SERVICE
Practice address
1608 W 23Rd St
Zion, IL 60099
Phone
(847) 872-9227
Fax
(847) 872-9226
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mrs. Yvette Blanton
Title
Office Manager
Phone
(847) 872-9227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1608 W 23Rd St
Zion, IL 60099

Mailing address

1608 W. 23Rd St.
Zion, IL 60099
Phone (847) 872-9227

National Provider Directory

National Provider Directory

Locations

1608 23rd St
Zion, IL 60099
Phone (847) 872-9227

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1962674978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 W. 23RD ST.",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "847-872-9227",
            "fax_number": "872-872-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W 23RD ST",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "847-872-9227",
            "fax_number": "847-872-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION BENTON CHILDREN'S SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-872-9227",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.