BENJAMIN STOLTENBERG
Student in an Organized Health Care Education/Training Program

Address: University of Illinois Hospital, 1740 W. Taylor Street, Chicago, IL 60612

BENJAMIN STOLTENBERG (NPI# 1932782877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932782877
Entity Type Individual
Full Name BENJAMIN STOLTENBERG
Gender Male
Credential MD
Practice Address University of Illinois Hospital, 1740 W. Taylor Street
Chicago
IL 60612
Practice Telephone 8666002273
Mailing Address Uic Pediatrics Residency, 840 S. Wood Street
Rm 1403 (mc 856)
Chicago
ID 60612
Certification Date 2021-04-01
Enumeration Date 2021-04-29
Last Update Date 2021-04-29
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address UNIVERSITY OF ILLINOIS HOSPITAL, 1740 W. TAYLOR STREET
City CHICAGO
State IL
Zip Code 60612

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1922625268 Ufuk Vardar Internal Medicine 1969 Ogden Ave, Chicago, IL 60612 2020-07-02
1669090403 Marianne Gagnon-Konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1124643028 Ashley Swan Student in an Organized Health Care Education/Training Program 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1467084442 Safer Foundation Clinic/Center - Mental Health (Including Community Mental Health Center) 808 S. Kedzie Ave, Chicago, IL 60612 2020-02-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1033793195 Idanis Perez-Alvarez Student in an Organized Health Care Education/Training Program 1275 W Harrison St, Professional Building-Suite 425, Chicago, IL 60612 2021-05-05
1093325763 Zahra Mostafa Al Khuridah Student in an Organized Health Care Education/Training Program University of Illinois Hospital, 1740 W. Taylor St., Chicago, IL 60612 2020-08-06
1275153777 Isac Lim Podiatrist - Foot & Ankle Surgery 1234 S. Wells, Chicago, IL 60612 2020-04-24
1891375986 Elizabeth Grace Behre Student in an Organized Health Care Education/Training Program 1645 W. Jackson Blvd. Suite 200, Chicago, IL 60612 2021-04-12
1649874561 Kimberly Krupa Tadros Pharmacist Vamc Outpatient Pharmacy, 820 S Damen Ave, Chicago, IL 60612 2020-11-23
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194392100 Ahmed Mudathir Hassan Mohamed Student in an Organized Health Care Education/Training Program 420 E Superior St., Ste 9-900, Chicago, IL 60611-4494 2021-06-08
1023685567 Jared Matthew Smith Student in an Organized Health Care Education/Training Program 1127 N Oakley Blvd Fl 3, Chicago, IL 60622-3507 2021-06-04
1649846189 Anne Danicek Student in an Organized Health Care Education/Training Program 2531 N Burling St # 2, Chicago, IL 60614-2509 2021-06-03
1629643036 Alan Tseng Student in an Organized Health Care Education/Training Program 1169 S Plymouth Ct Apt 120, Chicago, IL 60605-2055 2021-05-26
1245805639 Olivia Rae Nichols Student in an Organized Health Care Education/Training Program 3241 S Michigan Ave Ste 1, Chicago, IL 60616-3878 2021-05-26
1346815792 Jonathan Lee Poquiz Student in an Organized Health Care Education/Training Program 1440 N Dayton St Ofc 3046, Chicago, IL 60642-2644 2021-05-26
1578138376 Preston Allen Mercurius Banoub Student in an Organized Health Care Education/Training Program 1900 W Polk St Unit 611, Chicago, IL 60612-3723 2021-05-24
1043885924 Raisa Yewah Student in an Organized Health Care Education/Training Program 420 E Superior St, Chicago, IL 60611-4494 2021-05-24
1205401189 Jonathan Alcantar-Heredia Student in an Organized Health Care Education/Training Program 1853 W Polk St Rm 105c, Chicago, IL 60612-4355 2021-05-24
1235704016 Husamuldeen Dhari Student in an Organized Health Care Education/Training Program 4626 W Diversey Ave, Chicago, IL 60639-1829 2021-05-24
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.