Individual provider Active NPI

Anne Bendik, APN-CNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1841697612
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209011808 Issued in IL
Practice address
6631 N Bosworth Ave
Chicago, IL 60626-4223
Phone
(773) 761-5309
Fax
(773) 761-5005
NPI assigned
Nov 22, 2014
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209011808 IL Primary
Family Nurse Practitioner 363LF0000X 209.011808 IL

Addresses

Primary practice location

6631 N Bosworth Ave
Chicago, IL 60626-4223

Mailing address

6631 N Bosworth Ave
Chicago, IL 60626-4223
Phone (773) 761-5309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.011808ILMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1841697612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 N BOSWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264223",
            "telephone_number": "773-761-5309",
            "fax_number": "773-761-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 N BOSWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264223",
            "telephone_number": "773-761-5309",
            "fax_number": "773-761-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDIK",
        "first_name": "ANNE",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-22",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011808",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.