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

Tucker D Benjamin, MS, PA-C

Individual provider Physician Assistant · NPI 1407122591

Tucker D Benjamin, MS, PA-C is a Physician Assistant in Crystal Lake, Illinois. Qualified in 2015, 11 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

750 E Terra Cotta Ave Ste B
Crystal Lake, IL 60014-3621
Phone: (815) 759-6363
Fax: (815) 759-6360
Show map & directions

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

Additional practice locations (1)

  • 260 E Congress Pkwy Ste D, Crystal Lake, IL 60014-6235 — (815) 759-6363

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085005769 (IL)

Record details

NPI number1407122591
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorNo
NPI enumeratedMarch 22, 2012
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Crystal Lake