| Mrs Kristine Louise Kadolph Benavides, FNP-BC | |
|
4215 Newburg Rd, Rockford, IL 61108-6479 | |
| (815) 988-8500 | |
| Not Available |
| Full Name | Mrs Kristine Louise Kadolph Benavides |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 4215 Newburg Rd, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902370927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209017840 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Home Health & Rehab | Lake in the hills, IL | Home health agency |
| Angel Health Care, Llc | Oak brook, IL | Home health agency |
| Resilience Home Health Corporation | Aurora, IL | Home health agency |
| Bg Home Health Providers, Llc | Arlington heights, IL | Home health agency |
| Family Home Health Services | Addison, IL | Home health agency |
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Copley Memorial Hospital | Aurora, IL | Hospital |
| Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| In Home Medical Group Llc | 3779612395 | 35 |
| Community Home Physicians Llc | 4981988771 | 81 |
| Entity Name | In Home Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116 |
| Entity Name | Community Home Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568909505 PECOS PAC ID: 4981988771 Enrollment ID: O20170222001318 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristine Louise Kadolph Benavides, FNP-BC 4215 Newburg Rd, Rockford, IL 61108-6479 Ph: (815) 988-8500 | Mrs Kristine Louise Kadolph Benavides, FNP-BC 4215 Newburg Rd, Rockford, IL 61108-6479 Ph: (815) 988-8500 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Mariola U Grzeszczyk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Valerie Kae Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3259 Montlake Dr, Rockford, IL 61114 Phone: 815-238-6833 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 |