Bob Bednarz, RN
Individual provider Active NPI Ambulatory Care Registered Nurse · Mokena, IL
NPI 1720935976 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1720935976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- 041516644 (IL)
- Practice address
- 10121 Lancaster Dr
Mokena, IL 60448-7833 - Phone
- (708) 289-8881
- NPI assigned
- Mar 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041516644 | IL | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 041516644 | IL | Yes |
Addresses
Primary practice location
10121 Lancaster Dr
Mokena, IL 60448-7833
Mailing address
10121 Lancaster Dr
Mokena, IL 60448-7833
Phone (708) 289-8881
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All providers in Mokena, IL · Ambulatory Care Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.