DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRAINERD MEDICAL CENTER SC

MEDICARE: BRAINERD MEDICAL CENTER SC
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
1207Q00000XFamily Medicine PhysicianIL
2207R00000XInternal Medicine PhysicianIL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5DE3749OTHERILRAILROAD MEDICARE GRP#

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10001635931OTHERILBCBS GROUP #
2N276702OTHERILCORAZON BENIG'S HARMONY#
3P00299437OTHERILCORAZON BENIG'S RRM PIN
4P00288775OTHERILVINCENT BENIG-RRM PIN

General Provider Information

NPI Number : 1851435986
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAINERD MEDICAL CENTER SC
Provider Business Mailing Address
First Line : 1222 W 95TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1408
Country : US
Telephone Number : 773-445-8155
Fax Number : 773-779-7186
Provider Business Practice Location Address
First Line : 1222 W 95TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1408
Country : US
Telephone Number : 773-445-8155
Fax Number : 773-779-7186
Authorized Official
Title or Position : PRESIDENT
Name : DR. VINCENT RAFER BENIG
Credential : M.D.
Telephone Number : 773-445-8155
Provider Enumeration Date : 02/20/2007
Last Update Date : 09/11/2025

Similar Medicare Providers

1760437172 — DR. CORAZON RAFER BENIG M.D.
Practice Location Address:
1222 W 95TH ST
CHICAGO, IL
60643-1408
Practice Phone: 773-445-8155
Practice Fax: 773-779-7186
1710093752 — DR. LAMBERTO R TORNO JR. DDS
Practice Location Address:
1222 W 95TH ST
CHICAGO, IL
60643-1408
Practice Phone: 773-445-8177
Practice Fax:
1356459853 — L. R. TORNO, JR., DDS, PC
Practice Location Address:
1222 W 95TH ST
CHICAGO, IL
60643-1408
Practice Phone: 773-445-8177
Practice Fax:
1013168020 — CORAZON R BENIG MD SC
Practice Location Address:
1222 W 95TH ST
CHICAGO, IL
60643-1408
Practice Phone: 773-445-8155
Practice Fax:
1063822823 — HEURISTIC QUEST HEADQUARTERS
Practice Location Address:
1222 W. 95TH ST
CHICAGO, IL
60643-1408
Practice Phone: 773-238-5555
Practice Fax: 773-238-5533
1194344374 — DENISE BURNS
Practice Location Address:
1222 W 95TH ST
CHICAGO, IL
60643-1408
Practice Phone: 773-238-5555
Practice Fax:

Directions to “BRAINERD MEDICAL CENTER SC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.