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NPI Code Detail

MEDICARE: REBECCA MCFADDEN HENDRICKS MD

MEDICARE: REBECCA MCFADDEN HENDRICKS MD
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
1207Q00000XFamily Medicine Physician01094849AIN

General Provider Information

NPI Number : 1740910959
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MCFADDEN HENDRICKS MD
Provider Business Mailing Address
First Line : 6301 UNIVERSITY COMMONS STE 210
Second Line :
City : SOUTH BEND
State : IN
Zip : 46635-1590
Country : US
Telephone Number : 574-234-4016
Fax Number : 574-239-4607
Provider Business Practice Location Address
First Line : 6301 UNIVERSITY COMMONS STE 210
Second Line :
City : SOUTH BEND
State : IN
Zip : 46635-1590
Country : US
Telephone Number : 574-234-4016
Fax Number : 574-239-4607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 03/18/2026

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Directions to “ REBECCA MCFADDEN HENDRICKS MD” Practice Location

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