| Kathleen Marie Benson, DNP, CPNP | |
| 
					721 W Lake St, Addison, IL 60101-2035  | |
| (630) 757-4010 | |
| Not Available | 
| Full Name | Kathleen Marie Benson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Pediatrics | 
| Location | 721 W Lake St, Addison, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376096115 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 209014385 (Illinois) | Primary | 
| 363LF0000X | Nurse Practitioner - Family | 209014385 (Illinois) | Secondary | 
| Entity Name | Shriners Hospitals For Children | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871930693 PECOS PAC ID: 9133031933 Enrollment ID: O20131009001351  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kathleen Marie Benson, DNP, CPNP 1s561 Cotuit Ct, Glen Ellyn, IL 60137-6410 Ph: (312) 914-2718  | Kathleen Marie Benson, DNP, CPNP 721 W Lake St, Addison, IL 60101-2035 Ph: (630) 757-4010  | 
Danny Joseph Comchomnon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 W North Ave, Addison, IL 60101 Phone: 708-769-9685  | |
Jenny Sanguenza,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 N Swift Rd, Addison, IL 60101 Phone: 630-953-3660  | |
Merilyn Rivera, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 228 E Lake St, Addison, IL 60101 Phone: 630-835-1430  | |
Jill Alexandra Shepherd, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2055 W Army Trail Rd Ste 104, Addison, IL 60101 Phone: 630-599-5400 Fax: 630-705-1049  | |
Amy Lee, APRN-FPA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 331-221-0570 Fax: 331-221-2745  | |
Ms. Sandeep Kaur Pandher, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 N Swift Rd, Addison, IL 60101 Phone: 888-556-8226  | |
Sarah Melby, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2055 W Army Trail Rd, Addison, IL 60101 Phone: 630-599-5400  |