Mary Ann Bender DPM LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016.004980 Issued in IL

Legal business name

MARY ANN BENDER DPM LTD

Practice address

7318 Madison St
Suite 2
Forest Park, IL 60130-3100

Phone

(708) 837-2540

NPI assigned

Sep 20, 2016

Last updated

Oct 7, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Ann Bender, DPM

Title

President

Phone

(708) 837-2540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BENDER, MARY ANN DPM LTD Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1639627540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601300586",
            "telephone_number": "708-837-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 MADISON ST",
            "address_2": "SUITE 2",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601303100",
            "telephone_number": "708-837-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN BENDER DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-837-2540",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.004980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004980",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENDER, MARY ANN DPM LTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlyn Louise Marro, M.A. CCC-SLP
• Amanda Lee Marsh, DPT
• Sandra Martell, FNP-BC, DNP
• Trinity Martin
• Sarah Martinez
• Jocelyn Marcia Marzec, MAT
• Elizabeth Rose Mattax, LCPC
• Maura McCarthy
• Kristen McCourt
• Hilary Strawn McElligott, M.D.

• Foot & Ankle Surgery Podiatrist in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.