Provider Demographics
NPI:1932118148
Name:BENDIKAS, LEONARD GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:GEORGE
Last Name:BENDIKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 E GOLF RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1252
Mailing Address - Country:US
Mailing Address - Phone:847-296-4020
Mailing Address - Fax:847-296-5926
Practice Address - Street 1:1400 E GOLF RD
Practice Address - Street 2:SUITE 212
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1252
Practice Address - Country:US
Practice Address - Phone:847-296-4020
Practice Address - Fax:847-296-5926
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036056155207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001616603OtherBCBS IL PROVIDER NUMBER
IL0001616603OtherBCBS IL PROVIDER NUMBER
IL612201Medicare PIN
ILC43820Medicare UPIN