MEDICARE: SHARON SUE BENDER ED.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	1372465	IL

General Provider Information

NPI Number	:	1275837536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON SUE BENDER ED.S.

Provider Business Mailing Address
First Line	:	2525 E OAKTON ST
Second Line	:	BUILDING C
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4881
Country	:	US
Telephone Number	:	847-951-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 E OAKTON ST
Second Line	:	BUILDING C
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4881
Country	:	US
Telephone Number	:	847-951-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2010
Last Update Date	:	12/30/2010

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Directions to “ SHARON SUE BENDER ED.S.” Practice Location

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