Healthcare Provider Details

I. General information

NPI: 1295889590
Provider Name (Legal Business Name): JILL WEISSBERG-BENCHELL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDREN'S MEMORIAL HOSPITAL 2300 CHILDREN'S PLAZA, BOX 10
CHICAGO IL
60614
US

IV. Provider business mailing address

CHILDREN'S MEMORIAL HOSPITAL 2300 CHILDREN'S PLAZA, BOX 10
CHICAGO IL
60614
US

V. Phone/Fax

Practice location:
  • Phone: 773-880-4800
  • Fax:
Mailing address:
  • Phone: 773-880-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071005589
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: