Individual provider Active NPI

Aidan James Benedict

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1982569562
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085011812 Issued in IL
Practice address
830 N Ashland Ave Apt 1N
Chicago, IL 60622-5684
Phone
(773) 280-7001
Fax
(773) 280-7597
NPI assigned
Dec 17, 2025
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085011812 IL Primary

Addresses

Primary practice location

830 N Ashland Ave Apt 1N
Chicago, IL 60622-5684

Mailing address

830 N Ashland Ave Apt 1N
Chicago, IL 60622-5684
Phone (773) 280-7001

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
I20251229001720 IL Practitioner - Physician Assistant 3375039423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stellar Pain and Spine SpecialistsGroup PAC ID 8628361276, 12 clinicians

Practice addresses (Care Compare)

5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085011812ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Pain and Spine Specialists CurrentSince Dec 1, 2025 Accepting new patients

Locations

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1982569562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N ASHLAND AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225684",
            "telephone_number": "773-280-7001",
            "fax_number": "773-280-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N ASHLAND AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225684",
            "telephone_number": "773-280-7001",
            "fax_number": "773-280-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "AIDAN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085011812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.