| Mr John D Benton, LCSW | |
|
9308 Baldwin Dr, Machesney Park, IL 61115-1720 | |
| (779) 537-4631 | |
| Not Available |
| Full Name | Mr John D Benton |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 9308 Baldwin Dr, Machesney Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639358039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.012605 (Illinois) | Primary |
| Entity Name | Rosecrance Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013289446 PECOS PAC ID: 3779656582 Enrollment ID: O20130502000371 |
| Entity Name | Richard Kneip Phd Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20190204000199 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John D Benton, LCSW 9308 Baldwin Dr, Machesney Park, IL 61115-1720 Ph: (779) 537-4631 | Mr John D Benton, LCSW 9308 Baldwin Dr, Machesney Park, IL 61115-1720 Ph: (779) 537-4631 |
Shawna Malone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5198 Zenith Pkwy, 2, Machesney Park, IL 61115 Phone: 815-608-3507 | |
Susan V Bowes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2984 Vaughndale Dr, Machesney Park, IL 61115 Phone: 309-657-3488 | |
Mrs. Kathleen Susan Dombeck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7247 Chandan Blvd, Machesney Park, IL 61115 Phone: 630-981-4330 | |
Cheryl L Mcardle Culhane, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11328 Ventura Blvd, Machesney Park, IL 61115 Phone: 815-965-1817 Fax: 815-637-9261 | |
Mrs. Kayla Anne Clayton, LCSW, APSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 9853 N Alpine Rd # 202, Machesney Park, IL 61115 Phone: 815-708-7411 | |
Shahalonie Herman, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1205 W Lane Rd, Machesney Park, IL 61115 Phone: 815-469-1500 |