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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TUCKER D BENJAMIN, MS, PA-C

Active

TUCKER D BENJAMIN, MS, PA-C is a Physician Assistant healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1407122591 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CRYSTAL LAKE, IL

Registration Details

NPI Number
1407122591
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2012 (14.362685656557 yrs)
Last Updated
Dec 30, 2024
License
085005769 (IL)

Practice Information

Address
750 E TERRA COTTA AVE STE B
CRYSTAL LAKE, IL, 600143621
Browse IL providers · Browse ZIP 60014
Phone
8157596363
Fax
8157596360
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CRYSTAL LAKE, IL

Name Credential NPI
MAKIKO OGINO-MCELLIGOTT PA-C 1134121965
MRS. KATHI LYNE BLILER P.A.-C 1265543557
CHRISTOPHER M NORTHERN PA 1043300767
MRS. MICHELLE LEE SANFILIPPO PA-C 1679628374
MISS TAMARA A. PRIDE PA-C 1649494691
AMANDA MARIE DIAMOND PA-C 1003147406
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.