Individual provider Active NPI

Benz L Obrero

  • Family Nurse Practitioner
  • Libertyville, IL
National Provider Identifier
1972014272
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277002830 Issued in IL
Practice address
1800 Hollister Dr Ste 107
Libertyville, IL 60048-5265
Phone
(847) 295-0010
Fax
(847) 549-7815
NPI assigned
Oct 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277002830 IL Primary

Addresses

Primary practice location

1800 Hollister Dr Ste 107
Libertyville, IL 60048-5265

Mailing address

6415 N Keating Ave
Lincolnwood, IL 60712-3410
Phone (847) 271-7670

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address benzlucioobrero@uropart.allscriptsdirect.net

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116002955 IL Practitioner - Nurse Practitioner 6608132014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

Practice addresses (Care Compare)

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600

1051 Perimeter Dr
Suite 150
Schaumburg, IL 60173-5075
Phone (847) 823-3185

1475 E Belvidere Rd
Suite 312
Grayslake, IL 60030-2016
Phone (847) 986-3030

1800 Hollister Dr
Suite 107
Libertyville, IL 60048-5265
Phone (847) 295-0010

2225 Enterprise Dr
Suite 2511
Westchester, IL 60154-5805
Phone (708) 486-0076

Hospital & facility affiliations

  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners LLC Current Accepting new patients
Uropartners, LLC CurrentSince Oct 30, 2017 Accepting new patients
Uropartners, LLC CurrentSince Oct 30, 2017 Accepting new patients

Locations

1170 E Belvidere Rd
Ste 211
Grayslake, IL 60030
Phone (847) 986-3030

1475 E Belvidere Rd
Ste 312
Grayslake, IL 60030
Phone (847) 295-0010

1800 Hollister Dr
Ste 107
Libertyville, IL 60048
Phone (847) 295-0010

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1972014272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 N KEATING AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123410",
            "telephone_number": "847-271-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR STE 107",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485265",
            "telephone_number": "847-295-0010",
            "fax_number": "847-549-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRERO",
        "first_name": "BENZ",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277002830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benzlucioobrero@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1800 Hollister Dr Ste 107",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600485265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.