Provider Demographics
NPI:1962127993
Name:SARAH BENDIX, PLLC
Entity type:Organization
Organization Name:SARAH BENDIX, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BENDIX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-401-7144
Mailing Address - Street 1:5315 N CLARK ST # 155
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2290
Mailing Address - Country:US
Mailing Address - Phone:773-401-7144
Mailing Address - Fax:
Practice Address - Street 1:5315 N CLARK ST # 155
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2290
Practice Address - Country:US
Practice Address - Phone:773-401-7144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty