Provider Demographics
NPI:1851367619
Name:BENSINGER, JUDITH S (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:S
Last Name:BENSINGER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:600 N MAYFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-2310
Mailing Address - Country:US
Mailing Address - Phone:847-295-8555
Mailing Address - Fax:847-295-1117
Practice Address - Street 1:480 ELM PL
Practice Address - Street 2:STE #200
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2538
Practice Address - Country:US
Practice Address - Phone:847-433-3060
Practice Address - Fax:847-433-6325
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2010-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036042863207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL93176Medicare UPIN