Provider Demographics
NPI:1659854552
Name:BENDER, CAITLIN THERESE (MS, LAT, ATC, CES)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:THERESE
Last Name:BENDER
Suffix:
Gender:F
Credentials:MS, LAT, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 ARMSTRONG DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1817
Mailing Address - Country:US
Mailing Address - Phone:847-541-8829
Mailing Address - Fax:
Practice Address - Street 1:385 ARMSTRONG DR
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1817
Practice Address - Country:US
Practice Address - Phone:847-541-8829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0960034092255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer