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Individual

BRIAN BENDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(561) 623-2008
Mailing address
2829 LAKESIDE DR, COLUMBIA, IL 62236-2682
(937) 241-7151

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.491312
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.027749
IL

Other

Enumeration date
04/24/2023
Last updated
07/06/2023
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