Tucker D. Benjamin, MS, PA-C

Physician Assistant · Crystal Lake, IL

Individual Active NPI

NPI number 1407122591

Practice location

750 E Terra Cotta Ave Ste B
Crystal Lake, IL 60014-3621
Phone
(815) 759-6363
Fax
(815) 759-6360

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NPI record

NPI
1407122591
Entity type
Individual (Type 1)
Enumeration date
March 22, 2012
Last updated
December 30, 2024
Certified
December 30, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085005769 IL

Mailing address

260 E Congress Pkwy Ste D
Crystal Lake, IL 60014-6235
Phone
(815) 759-6363
Fax
(815) 759-6360

Other practice locations (1)

  • 260 E Congress Pkwy Ste D, Crystal Lake, IL 60014-6235 · (815) 759-6363

About Tucker Benjamin

Tucker D. Benjamin, MS, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 750 E Terra Cotta Ave Ste B, Crystal Lake, IL 60014-3621. The NPI number 1407122591 was assigned on March 22, 2012 and the record was last updated on December 30, 2024.

Tucker Benjamin lists a license in the registry: #085005769 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tucker D. Benjamin, MS, PA-C?

The NPI number is 1407122591.

What is the phone number of Tucker Benjamin?

The phone number listed for the practice location is (815) 759-6363.

Where is Tucker Benjamin located?

750 E Terra Cotta Ave Ste B, Crystal Lake, IL 60014-3621.

What is the taxonomy code for Tucker Benjamin?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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