IndividualActive
Benjamin Shain, MD
NPI 1083633804 · Child & Adolescent Psychiatry Physician · Deerfield, IL
Provider details
- NPI number
- 1083633804
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036103300 (IL)
Practice location
49 S Waukegan Rd Ste 200
Deerfield, IL 60015-5204
Phone: (847) 400-8400
Fax: (847) 400-8445
Mailing address
2650 Ridge Ave
Evanston, IL 60201-1718
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2020-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.