IndividualActive
Carol Main-Benner, NP
NPI 1366453698 · Acute Care Nurse Practitioner · Fox River Grove, IL
Provider details
- NPI number
- 1366453698
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 209-003422 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
912 Northwest Hwy
Suite 7- Attn Raylene Boyd
Fox River Grove, IL 60021-1925
Phone: (847) 829-1600
Approximate (ZIP-level) locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.