| Jill C Benedeck, APRN, CNS | |
|
4305 W Medical Center Dr, Mchenry, IL 60050-8425 | |
| (815) 344-8000 | |
| (815) 344-9601 |
| Full Name | Jill C Benedeck |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Oncology |
| Location | 4305 W Medical Center Dr, Mchenry, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245742949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | 209016560 (Illinois) | Secondary |
| 364SX0200X | Clinical Nurse Specialist - Oncology | 209.016560 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill C Benedeck, APRN, CNS 4305 W Medical Center Dr, Mchenry, IL 60050-8425 Ph: (815) 344-8000 | Jill C Benedeck, APRN, CNS 4305 W Medical Center Dr, Mchenry, IL 60050-8425 Ph: (815) 344-8000 |
Judi Kittle Forner, Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 Phone: 815-759-8070 Fax: 815-759-4931 | |
Joan Rembacz, RN, APN, CCNS, CCRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-4015 Fax: 815-759-4110 |