Look up the most recent NPI and PECOS records

Benjamin Traisman

Internal Medicine

Allopathic & Osteopathic Physicians

1645 W Jackson Blvd Ste 215, Chicago, IL 60612-3227

PECOS Enrollment

Based on the most recent information from CMS, provider Benjamin Traisman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1740869064
Provider Type
Individual
Full Name
Traisman, Benjamin
Credential
DO

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/5/2021
Last Updated
6/7/2021

Contact Information

Practice Location

1645 W Jackson Blvd Ste 215, Chicago, IL 60612-3227

(312) 942-3254

Unlisted Fax

Mailing Location

1645 W Jackson Blvd Ste 215, Chicago, IL 60612-3227

(312) 942-3254

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125078075 Illinois
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License 125078075 Illinois

Benjamin Traisman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Ashimi, Rashidat A

Mennella, Concetta C

Gudetta, Aron Berhanu

Dhungel, Samriddh

Velazquez Romero, Genaro

Garg, Deepshikha

Aryal, Badri

Shetty, Varun

Kehoe, William R

Maresky, Gideon