Provider Demographics
NPI:1437218765
Name:LECOMPTE, BENJAMIN B III (MD)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:B
Last Name:LECOMPTE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 N BARRINGTON ROAD
Mailing Address - Street 2:SUITE 325
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60194
Mailing Address - Country:US
Mailing Address - Phone:847-843-7743
Mailing Address - Fax:847-843-8039
Practice Address - Street 1:1575 N BARRINGTON ROAD
Practice Address - Street 2:SUITE 325
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60194
Practice Address - Country:US
Practice Address - Phone:847-843-7743
Practice Address - Fax:847-843-8039
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
648581Medicare ID - Type Unspecified
ILD88664Medicare UPIN