Individual
JOHN BAGENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18W140 BUTTERFIELD RD FL 15, OAKBROOK TERRACE, IL 60181-4843
(630) 613-7788
(630) 613-7787
Mailing address
18W140 BUTTERFIELD RD FL 15, OAKBROOK TERRACE, IL 60181-4843
(630) 613-7788
(630) 613-7787
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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