1. Home
  2. Directory
  3. Illinois
  4. Loves Park
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BENEDICT IKEUDENTA III MD
NPI 1477256931
Family Medicine in Loves Park, IL

Active since March 23, 2023
7702 N ALPINE RD, LOVES PARK, IL 61111(815) 971-3310 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, Mar 23, 2023 (2 updates tracked since 2023).

About Dr. Benedict Ikeudenta Iii Md NPPES

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

DR. BENEDICT IKEUDENTA III MD (NPI 1477256931) is an individual family medicine provider in Loves Park, Illinois, licensed in Illinois (036181027) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1477256931
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BENEDICT IKEUDENTA IIICredential: MD
Location Address7702 N ALPINE RDLoves Park, IL 61111-3107
Mailing Address7561 Creek BndRockford, IL 61114-6663 · (346) 322-5140
Phone(815) 971-3310
Sole ProprietorNo
Enumeration DateMarch 23, 2023
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1477256931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036181027
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7702 N ALPINE RD, Loves Park, IL 61111
Open in Google Maps ↗

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.

DR. SHAFFIQ YUSUF MD
Family Medicine
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-3310
UMM E FARWA KHAN MD
Student in an Organized Health Care Education/Training Program
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-2000
THERESA COURI DO
Student in an Organized Health Care Education/Training Program
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-2000
ROMULO E. ORTEGA MD
Pediatrics
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-2000
NANDINI CHATTOPADHYAY MD
Family Medicine
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-3397
DR. KEITH BALRAM SHANKAR M.D.
Student in an Organized Health Care Education/Training Program
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-2000
NASSAR PATNI MD
Family Medicine
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-2000
DR. SAMREEN FATIMA MD
Family Medicine
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-2000

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 Benedict Ikeudenta's NPI number?

The NPI number for Benedict Ikeudenta is 1477256931. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Benedict Ikeudenta located?

Benedict Ikeudenta practices at 7702 N Alpine Rd, Loves Park, IL 61111. The listed phone number is (815) 971-3310.

What is Benedict Ikeudenta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Benedict Ikeudenta was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.