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Contact Information

MARA T BEDELL
1725 W HARRISON ST STE 906
CHICAGO, IL60612-3848
 Phone: 312-733-7566
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARA T BEDELL · (Female)

NPI Number 1336998293
Status Active
Credentials
Entity Individual
Enumeration date 05/14/2024
Last updated 08/26/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 046011870
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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