Individual
DR. MARY ANN BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6931 NORTH AVE, OAK PARK, IL 60302-1053
(708) 763-0580
(708) 763-0586
Mailing address
1660 FEEHANVILLE DR STE 450, MOUNT PROSPECT, IL 60056-6023
(847) 390-7666
(708) 763-0586
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004980
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001621735
BCBS
IL
05
—
016004980
—
IL
01
—
131370500
DEPT OF LABOR
IL
01
—
P00128997
RAILROAD MEDICARE
IL
Enumeration date
11/12/2006
Last updated
12/27/2021
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