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Deactivated NPI 1013359330 Deactivated / Inactive NPI Male Practitioner

Dr. Benjamin Larsen , MD

Surgery • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Benjamin Larsen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 29, 2013
NPI Deactivation Date December 03, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Larsen, MD was a registered Surgery practicing in Chicago, IL. Throughout an active medical career spanning 7 years, Dr. Larsen provided care at the practice location at 2900 N LAKE SHORE DR until profile deactivation on 2020-12-03.

Practice Location & Contact Primary Location

Practice Address

2900 N Lake Shore Dr

Chicago, IL 606575640

Telephone 7736653000
Associated Practice Facility / Clinic
🏢 Saint Joseph Hospital-Chicago Facility NPI 1225025786

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
579 Specialists

Practicing in Chicago, IL (1624 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 125.062957

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003163932

Doctor of Medicine (M.D.)

Dr. Max Bustillo Orozco , MD

Student in an Organized Health Care Education/Training Program

NPI 1013747278

Doctor of Medicine (M.D.)

Dr. Sandra Solomon , MD

Pain Medicine - Interventional Pain Medicine

NPI 1023020088

Doctor of Medicine (M.D.)

NPI 1023244761

Doctor of Medicine (M.D.)

Dr. Ahsana Islam , DPM

Student in an Organized Health Care Education/Training Program

NPI 1033811906

Doctor of Podiatric Medicine

Dr. Samuel Schaeffer , MD

Student in an Organized Health Care Education/Training Program

NPI 1053114488

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 03, 2020

Record deactivated on December 03, 2020

NPI Profile Active July 29, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 29, 2013

Registered at 2900 N LAKE SHORE DR, CHICAGO, IL 606575640 (Tel: 7736653000)

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Updated Business Mailing Address July 29, 2013

Registered at 1065 W HOLLYWOOD AVE, 2 NORTH, CHICAGO, IL 606604551

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Provider Name / Credentials Updated July 29, 2013

Recorded as BENJAMIN LARSEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2013

Surgery (License #125.062957 in IL)

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Initial NPI Registration & Enumeration July 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013359330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2013
Last Update: July 29, 2013
Deactivation Date: December 03, 2020

Mailing Address

1065 W Hollywood Ave, 2 North

Chicago, IL 606604551

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.