| Jessica L Bender, DO | |
|
2850 W 95th St, Suite 103, Evergreen Park, IL 60805-2735 | |
| (708) 636-9205 | |
| (708) 422-5505 |
| Full Name | Jessica L Bender |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 2850 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306156500 | NPI | - | NPPES |
| 036130209 | Other | IL | ILLINOIS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 125054926 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 036130209 (Illinois) | Primary |
| Entity Name | Little Company Of Mary Affiliated Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033162086 PECOS PAC ID: 5193629202 Enrollment ID: O20040127000775 |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica L Bender, DO 2850 W 95th St, Suite 103, Evergreen Park, IL 60805-2735 Ph: (708) 636-9205 | Jessica L Bender, DO 2850 W 95th St, Suite 103, Evergreen Park, IL 60805-2735 Ph: (708) 636-9205 |
Dr. Anita Iyer, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9730 S Western Ave, Ste 100, Evergreen Park, IL 60805 Phone: 708-425-1907 Fax: 708-422-4253 | |
Dr. Mikaela Rico, DO Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 2850 W 95th St Ste 301, Evergreen Park, IL 60805 Phone: 708-636-9205 Fax: 708-422-5505 | |
Robert M Bonaminio, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2850 W. 95th St, Suite 103, Evergreen Park, IL 60805 Phone: 708-636-9205 Fax: 708-229-6075 | |
Dr. Steven Robert Daube, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9730 S Western Ave Ste 700, Evergreen Park, IL 60805 Phone: 708-425-1907 Fax: 708-422-4253 | |
Emuata Ufok Bassey, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-229-5420 Fax: 708-229-4209 | |
Steven E Ambrose, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9730 S Western Ave, Ste 100, Evergreen Park, IL 60805 Phone: 708-425-1907 Fax: 708-422-4253 |