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

Benny Tom

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396693289

Benny Tom is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

1 Illini Dr
Peoria, IL 61605-2576
Phone: (309) 671-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1396693289
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 18, 2026
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address1 Illini Dr, Peoria, IL 61605-2576

Other providers in Peoria