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Mrs. Dessa Benton

Nurse Practitioner - Acute Care Nurse Practitioner - Pediatrics Nurse Practitioner - Primary Care Nurse Practitioner - Community Health

5500 S Damen Ave
Chicago , Illinois 60636-1107

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Acute Care
  • Nurse Practitioner - Community Health
  • Nurse Practitioner - Pediatrics
  • Nurse Practitioner - Primary Care

Languages spoken

  • English

Location

5500 S Damen Ave Chicago , Illinois 60636-1107

First Address

  • Mrs. Dessa Benton
  • 5500 S Damen Ave
  • Chicago, IL
  • Zip : 60636-1107
  • Fax : (773) 776-8801
  • Phone : (773) 776-8800

Second Address

  • Mrs. Dessa Benton
  • 5500 S Damen Ave
  • Chicago, IL
  • Zip : 60636-1107
  • Fax : (773) 776-8801
  • Phone : (773) 776-8800

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FAQs


Where did Mrs. Dessa Benton attend graduate school?

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Where did Mrs. Dessa Benton do her residency?

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Where did Mrs. Dessa Benton do her fellowship?

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Is Mrs. Dessa Benton board certified?

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What type of doctor is Mrs. Dessa Benton

Nurse Practitioner - Pediatrics

In what state does Mrs. Dessa Benton practice in?

Illinois

Where is Mrs. Dessa Benton ’s practice located?

5500 S Damen Ave , Chicago, Illinois, 60636-1107

What is Mrs. Dessa Benton ’s gender?

Female

Is Mrs. Dessa Benton a sole practitioner?

No

Is Mrs. Dessa Benton accepting new patients?

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What languages does Mrs. Dessa Benton speak?

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Does Mrs. Dessa Benton accept insurance?

Yes, Mrs. Dessa Benton accepts insurance

Does Mrs. Dessa Benton offers telemedicine?

Mrs. Dessa Benton has not indicated if she offers telemedicine

What is Mrs. Dessa Benton ’s professional license number?

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What is Mrs. Dessa Benton ’s NPI number?

1992968143

Does Mrs. Dessa Benton have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363LA2100X Nurse Practitioner - Acute Care 209000672 IL
N 363LC1500X Nurse Practitioner - Community Health 209-000672 IL
Y 363LP0200X Nurse Practitioner - Pediatrics 209-000672 IL
N 363LP2300X Nurse Practitioner - Primary Care 209-000672 IL

National Provider Identifier

NPI 1992968143
Provider Name Mrs. Dessa Benton
First Address Chicago, IL 60636-1107
Second Address Chicago, IL 60636-1107
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 08/07/2008
Last Update Date 08/07/2008

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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