=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437345527
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANK BENDIKS, DC, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/21/2007
-----------------------------------------------------
Last Update Date | 02/02/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1112 S WASHINGTON ST SUITE 117
-----------------------------------------------------
City | NAPERVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60540-7918
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-301-0054
-----------------------------------------------------
Fax | 630-449-7860
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1112 S WASHINGTON ST SUITE 117
-----------------------------------------------------
City | NAPERVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60540-7918
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-301-0054
-----------------------------------------------------
Fax | 630-449-7860
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. FRANK BENDIKS
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 630-301-0054
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 38010522
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------