Bender, Mary Ann

Bender, Mary Ann is an sole proprietor health care provider with primary practice located at 6931 North Ave , Oak Park IL 60302-1053. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Bender, Mary Ann can be contacted via phone (708) 763-0580.

Contact Information

Primary practice address
6931 North Ave Oak Park IL 60302-1053
Phone: (708) 763-0580
Fax: (708) 763-0586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016004980 Illinois

Profile Details

NPI number 1184795239
LBN Legal business name Bender, Mary Ann
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2006
Last updated Dec 27th, 2021 - about 5 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 1184795239 NPPES
Illinois Other 131370500 DEPT OF LABOR
Illinois Other 0001621735 DEPT OF LABOR
Illinois Other P00128997 DEPT OF LABOR
Illinois MEDICAID 016004980 DEPT OF LABOR

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