MEDICARE: BENSON WEINBERG CLINICAL ASSOCIATES PC

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
1	103TC0700X	Clinical Psychologist		IL
2	101YP2500X	Professional Counselor		IL

General Provider Information

NPI Number	:	1871614990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENSON WEINBERG CLINICAL ASSOCIATES PC

Provider Business Mailing Address
First Line	:	1031 S WISCONSIN AVE
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60304-1817
Country	:	US
Telephone Number	:	708-383-1871
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 E WACKER DRIVE
Second Line	:	SUITE #4307
City	:	CHICAGO
State	:	IL
Zip	:	60601-5117
Country	:	US
Telephone Number	:	312-565-2609
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT LIC CLINICAL PSYCHOLOGIST
Name	:	DR. CAROLE S BENSON
Credential	:	PHD
Telephone Number	:	312-565-2609

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	09/11/2025

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