OrganizationActive
Central Professional Group
NPI 1255453056 · Psychiatry Physician · Joliet, IL
Provider details
- NPI number
- 1255453056
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dawn Benevides, Billing Supervisor(815) 725-6511
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
210 N Hammes Ave
Suite 103
Joliet, IL 60435-6680
Phone: (815) 725-6511
Fax: (815) 725-7166
Street-level locationGet directions
Mailing address
210 N Hammes Ave
Joliet, IL 60435-6680
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2009-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.