Bender, Jessica L

Bender, Jessica L is an individual health care provider with primary practice located at 2850 W 95Th St Suite 103, Evergreen Park IL 60805-2735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bender, Jessica L can be contacted via phone (708) 636-9205.

Contact Information

Primary practice address
2850 W 95Th St Suite 103 Evergreen Park IL 60805-2735
Phone: (708) 636-9205
Fax: (708) 422-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 125054926 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036130209 Illinois

Profile Details

NPI number 1306156500
LBN Legal business name Bender, Jessica L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2010
Last updated Sep 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306156500 NPPES
Illinois Other 036130209 ILLINOIS LICENSE

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