Individual provider Active NPI

Katherine Lynn Bendis, D.C.

  • Chiropractor
  • Bloomingdale, IL
National Provider Identifier
1962708172
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011873 Issued in IL
Practice address
303 E Army Trail Rd Ste 101
Bloomingdale, IL 60108-2140
Phone
(630) 529-2225
Fax
(630) 529-0137
NPI assigned
Feb 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011873 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 101
Bloomingdale, IL 60108-2140

Mailing address

303 E Army Trail Rd Ste 101
Bloomingdale, IL 60108-2140
Phone (630) 529-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110805000590 IL Practitioner - Chiropractic 9931378023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 E Army Trail Rd
Suite 101
Bloomingdale, IL 60108-2140
Phone (630) 529-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011873ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Katherinebendis LLC Chiropractor CurrentSince Oct 30, 2014 Accepting new patients
Illinois Back and Joint PLLC Chiropractor PastSince Jan 19, 2023 Accepting new patients
Illinois Physical Medicine Group SC Chiropractor Past Accepting new patients
Wheaton Medical SC Chiropractor PastSince Nov 6, 2012 Accepting new patients
Countryside Medical SC Past Accepting new patients
Countryview Medical Center SC Chiropractor Past Accepting new patients

Locations

303 E Army Trail Rd
Ste 101
Bloomingdale, IL 60108
Phone (630) 529-2225

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1962708172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-529-2225",
            "fax_number": "630-529-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-529-2225",
            "fax_number": "630-529-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDIS",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.