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BENNY TOM
NPI 1396693289
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since March 18, 2026

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benny Tom NPPES

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

BENNY TOM (NPI 1396693289) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1396693289
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENNY TOM
Location Address1 ILLINI DRPeoria, IL 61605-2576
Mailing Address1 Illini DrPeoria, IL 61605-2576 · (309) 671-3000
Phone(309) 671-3000
Sole ProprietorYes
Enumeration DateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
✔ NPI 1396693289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1 ILLINI DR, Peoria, IL 61605
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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.

EMILY SHI
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (130) 967-1300
RICHARD HORNDASCH MD
Pediatrics (Adolescent Medicine)
1 ILLINI DR, MEDICAL SERVICE PLAN
PEORIA, IL 61605
Peoria County (309) 671-8503
ADEE ATHIYAMAN MD
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 624-9351
KRISTI UPADHYAYA
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 624-9351
LEONELA C BASTIDAS MD
Internal Medicine (Cardiovascular Disease)
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000
OLIVIA GUNTIN
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000
NIDA ALAM
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000
SYLWIA PATRYCJA BALATA
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000

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 Benny Tom's NPI number?

The NPI number for Benny Tom is 1396693289. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Where is Benny Tom located?

Benny Tom practices at 1 Illini Dr, Peoria, IL 61605. The listed phone number is (309) 671-3000.

What is Benny Tom'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 Benny Tom was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.