Individual provider Active NPI

Annabelle Bedenko, APN-CNP

  • Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1639630965
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209018482 Issued in IL
Practice address
9977 Woods Dr Ste 100
Skokie, IL 60077-1057
Phone
(224) 364-2273
Fax
(847) 663-8290
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209018482 IL Primary

Addresses

Primary practice location

9977 Woods Dr Ste 100
Skokie, IL 60077-1057

Mailing address

9977 Woods Dr Ste 100
Skokie, IL 60077-1057
Phone (224) 364-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190614000181 IL Practitioner - Nurse Practitioner 9830422344 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

100 Gore Rd
Morris, IL 60450-9466
Phone (815) 942-0545

Hospital & facility affiliations

  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 1, 2019 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 1, 2023 Accepting new patients
Morris Hospital Current Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 25, 2019 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Valley Emergency Care Management, Inc. CurrentSince Sep 15, 2022 Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Dec 15, 2024 Accepting new patients
Morris Hospital Current Accepting new patients
Freeport Memorial Hospital PastSince Jun 16, 2024 Accepting new patients

Locations

389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532

27240 W Saxony Dr
Ste 203
Channahon, IL 60410
Phone (815) 705-1000

27240 W Saxony Dr
Ste 201
Channahon, IL 60410
Phone (815) 467-1518

27240 W Saxony Dr
Channahon, IL 60410
Phone (815) 521-1500

9532 Eagle Way
Chicago, IL 60678

1450 E Division St
Diamond, IL 60416
Phone (815) 364-3500

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

100 Gore Rd
Morris, IL 60450
Phone (815) 364-8919

725 School St
Ste A
Morris, IL 60450

150 W High St
Morris, IL 60450
Phone (815) 942-2129

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

9977 Woods Dr
Ste 100
Skokie, IL 60077
Phone (847) 663-8350

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1639630965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9977 WOODS DR STE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771057",
            "telephone_number": "224-364-2273",
            "fax_number": "847-663-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9977 WOODS DR STE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771057",
            "telephone_number": "224-364-2273",
            "fax_number": "847-663-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDENKO",
        "first_name": "ANNABELLE",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.