Provider Demographics
NPI:1427715002
Name:BENDER, TAYLOR (AUD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:BENDER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:ST. PETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2640 SNOWBIRD LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-5747
Mailing Address - Country:US
Mailing Address - Phone:630-853-0210
Mailing Address - Fax:
Practice Address - Street 1:305 E NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-8116
Practice Address - Country:US
Practice Address - Phone:847-358-2896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2024-06-07
Deactivation Date:2024-05-28
Deactivation Code:
Reactivation Date:2024-06-07
Provider Licenses
StateLicense IDTaxonomies
IL147.001865231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist