Individual
MICHELLE BEDNARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2403 HARNISH DR, ALGONQUIN, IL 60102-6803
(847) 854-6482
(847) 854-6483
Mailing address
PO BOX 2427, ORLAND PARK, IL 60462-1089
(815) 834-2400
(815) 834-2424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623066
BCBS PROVIDER #
IL
Enumeration date
10/25/2006
Last updated
07/08/2007
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