Provider Demographics
NPI:1992042048
Name:FRANK BENDER MD LLC
Entity Type:Organization
Organization Name:FRANK BENDER MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:219-756-2900
Mailing Address - Street 1:200 E 89TH AVE
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7318
Mailing Address - Country:US
Mailing Address - Phone:219-756-2900
Mailing Address - Fax:219-756-2910
Practice Address - Street 1:200 E 89TH AVE
Practice Address - Street 2:SUITE 3A
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7318
Practice Address - Country:US
Practice Address - Phone:219-756-2900
Practice Address - Fax:219-756-2910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty