Provider Demographics
NPI:1841697612
Name:BENDIK, ANNE (APN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:BENDIK
Suffix:
Gender:
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6631 N BOSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-4223
Mailing Address - Country:US
Mailing Address - Phone:773-761-5309
Mailing Address - Fax:773-761-5005
Practice Address - Street 1:6631 N BOSWORTH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-4223
Practice Address - Country:US
Practice Address - Phone:773-761-5309
Practice Address - Fax:773-761-5005
Is Sole Proprietor?:No
Enumeration Date:2014-11-22
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209011808363L00000X
IL209.011808363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner