IndividualActive
Benjamin Wax, PT, DPT
NPI 1104094010 · Physical Therapist · Chicago, IL
Provider details
- NPI number
- 1104094010
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 070014503 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3936 N Milwaukee Ave
Chicago, IL 60641-2703
Phone: (630) 368-1771
Fax: (708) 658-2750
Street-level locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Additional practice locations (1)
- 3082 Caton Farm RdJoliet, IL 60435-1455Phone: (815) 577-9936Fax: (815) 577-9938
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2023-07-14
- Certified
- 2023-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.