BENJAMIN CHRISTOPHER BOOHER DO
NPI 1144970021
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since March 24, 2022
530 NE GLEN OAK AVE, PEORIA, IL 61637(206) 549-4271 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Benjamin Christopher Booher Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN CHRISTOPHER BOOHER DO (NPI 1144970021) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1144970021
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN CHRISTOPHER BOOHERCredential: DO
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-2576
Mailing Address1 Illini DrPeoria, IL 61605-2576 · (206) 549-4271
Sole ProprietorNo
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1144970021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NE GLEN OAK AVE, Peoria, IL 61637

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Booher's NPI number?

The NPI number for Benjamin Booher is 1144970021. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Benjamin Booher located?

Benjamin Booher practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (206) 549-4271.

What is Benjamin Booher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Benjamin Booher was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.