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Individual

D. JONATHAN BENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
24014 W RENWICK RD, 2ND FLOOR, PLAINFIELD, IL 60544-8708
(815) 577-2488
(815) 577-2489
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070009383
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BCBS OF IL
1619980
IL
Enumeration date
04/18/2007
Last updated
11/26/2008
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