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Julia Rose Bendorf

Student in an Organized Health Care Education/Training Program in Peoria, IL. Individual provider (NPI-1).

NPI number1104766252
StatusActive
Last updated in NPPESApr 13, 2026

Details

NPI
1104766252
Entity type
Individual (NPI-1)
Name
Julia Rose Bendorf
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2026
Certification date
Apr 13, 2026
Last updated
Apr 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

Phone 309-655-4163

Mailing address

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

Phone 309-655-4163

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