MEDICARE: ANNE BENDIK APN-CNP

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	363LF0000X	Family Nurse Practitioner	209.011808	IL
2	363L00000X	Nurse Practitioner	209011808	IL

General Provider Information

NPI Number	:	1841697612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE BENDIK APN-CNP

Provider Business Mailing Address
First Line	:	6631 N BOSWORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-4223
Country	:	US
Telephone Number	:	773-761-5309
Fax Number	:	773-761-5005

Provider Business Practice Location Address
First Line	:	6631 N BOSWORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-4223
Country	:	US
Telephone Number	:	773-761-5309
Fax Number	:	773-761-5005

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

Provider Enumeration Date	:	11/22/2014
Last Update Date	:	03/27/2026

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