NPI 1619945342 · live from the CMS NPI Registry
Michael Joseph Benanti, DO
Radiology, Diagnostic Radiology in Rockford, IL. National Provider Identifier 1619945342, active.
NPI record
| NPI | 1619945342 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 8201 E Riverside Blvd, Rockford, IL 61114 |
| Practice phone | 815-971-7000 |
| Mailing address | 29624 Network Pl, Chicago, IL 60673 |
| Enumerated | March 9, 2006 |
| Last updated | July 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | C2-0024581 (DE) |
| Radiology, Diagnostic Radiology | 2085R0202X | 20A23546 (CA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 204079 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.