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NPI Code Detail

MEDICARE: ALYSSA BENASKE APN-CRNA

MEDICARE: ALYSSA BENASKE APN-CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist209034604IL

General Provider Information

NPI Number : 1114649910
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA BENASKE APN-CRNA
Provider Business Mailing Address
First Line : 2650 RIDGE AVE # 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-982-3175
Fax Number : 847-982-3394
Provider Business Practice Location Address
First Line : 2650 RIDGE AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2760
Fax Number : 847-570-2921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2022
Last Update Date : 02/11/2026

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Directions to “ ALYSSA BENASKE APN-CRNA” Practice Location

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