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TANNER BENNETT DO
NPI 1992444368
Family Medicine in Oak Lawn, IL

Active since June 02, 2022
9555 S 52ND AVE, OAK LAWN, IL 60453(708) 422-5700(708) 422-8225 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 12, 2025, Apr 4, 2025 (2 updates tracked since 2025).

About Tanner Bennett Do NPPES

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

TANNER BENNETT DO (NPI 1992444368) is an individual family medicine provider in Oak Lawn, Illinois, licensed in Illinois (125086096) and active in the NPI registry since June 2022. He maintains a secondary practice location in Grand Blanc.

NPPES Registry Identity

NPI1992444368
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTANNER BENNETTCredential: DO
Location Address9555 S 52ND AVEOak Lawn, IL 60453-3054
Mailing Address9555 S 52nd AveOak Lawn, IL 60453-3054 · (847) 224-0143
Phone(708) 422-5700
Fax(708) 422-8225
Sole ProprietorYes
Enumeration DateJune 2, 2022
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1992444368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125086096
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 5151015784 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9555 S 52ND AVE, Oak Lawn, IL 60453
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Secondary Practice Location 1

Location 11 Genesys PkwyGrand Blanc, MI 48439-8065 · Phone (847) 281-6377

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.

ELIZABETH M PAYMENT MD
Family Medicine
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 634-0950
DR. DOBROSLAV DOBRIKOV DO
Family Medicine
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 422-5700
BHARATI PRASAD M.D.
Internal Medicine (Critical Care Medicine)
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 684-6867
LORENA GUZMAN-SCHMITT APRN
Nurse Practitioner (Family)
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 684-5437
GURANKIT SINGH DO
Family Medicine
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 422-5700
ERIKA VILLANUEVA
Dietitian, Registered
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 634-0950
DR. VASANTHA SAMALA M.D.
Internal Medicine (Critical Care Medicine)
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 634-0950
KELLY N BILLINGSLEY NP
Nurse Practitioner (Family)
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 634-0950

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 Tanner Bennett's NPI number?

The NPI number for Tanner Bennett is 1992444368. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Tanner Bennett located?

Tanner Bennett practices at 9555 S 52nd Ave, Oak Lawn, IL 60453. The listed phone number is (708) 422-5700.

What is Tanner Bennett'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 Tanner Bennett was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.