Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 036092746 | IL |
NPI | 1013956523 |
---|---|
Provider Name | Frank J Bender III |
First Address | Springfield, IL 62711-9252 |
Second Address | Springfield, IL 62711-9252 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 13/04/2020 |