Benton, Kathryn A.

Benton, Kathryn A. is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Benton, Kathryn A. can be contacted via phone (630) 933-6631.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Phone: (630) 933-6631
Fax: (630) 933-2140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071-006442 Illinois
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 071-006442 Illinois

Profile Details

NPI number 1497849194
LBN Legal business name Benton, Kathryn A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497849194 NPPES
Illinois Other 1033149844 GROUP NPI NUMBER
Illinois Other 1497849194 GROUP NPI NUMBER
Illinois Other 3631498336019001 GROUP NPI NUMBER
Illinois Other 0222075 GROUP NPI NUMBER
Illinois Other 363149833 GROUP NPI NUMBER

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