Organization
MARY ANN BENDER DPM LTD
Active
Other names
BENDER, MARY ANN DPM LTD
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN BENDER DPM (PRESIDENT)
(708) 837-2540
Entity
Organization
Contact information
Practice address
7318 MADISON ST, SUITE 2, FOREST PARK, IL 60130-3100
(708) 837-2540
Mailing address
PO BOX 586, FOREST PARK, IL 60130-0586
(708) 837-2540
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.004980
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004980
—
IL
Enumeration date
09/20/2016
Last updated
10/07/2016
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