Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Nishan Wall

Individual provider Clinical Social Worker · NPI 1669200093

Benjamin Nishan Wall is a Clinical Social Worker in Waukegan, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

415 Washington St Ste 200
Waukegan, IL 60085-5564
Phone: (847) 441-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1669200093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address3657 N Whipple St Apt 1f, Chicago, IL 60618-4519

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