NPI 1184795239 · live from the CMS NPI Registry
Mary Ann Bender, DPM
Podiatrist, Foot & Ankle Surgery in Oak Park, IL. National Provider Identifier 1184795239, active.
NPI record
| NPI | 1184795239 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 6931 North Ave, Oak Park, IL 60302 |
| Practice phone | 708-763-0580 |
| Mailing address | 1660 Feehanville Dr Ste 450, Mount Prospect, IL 60056 |
| Enumerated | November 12, 2006 |
| Last updated | December 27, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016004980 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.