Bedore, Gerald M.
Bedore, Gerald M. is an individual health care provider with primary practice located at 835 S Wolcott Ave Rm E-144 , Chicago IL 60612-3748. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Bedore, Gerald M. can be contacted via phone (312) 996-7420.Contact Information
Primary practice address
835 S Wolcott Ave Rm E-144
Chicago IL 60612-3748
Phone: (312) 996-7420
Fax: (312) 413-8485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209.004416 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 209.004416 | Illinois |
Profile Details
| NPI number | 1003075706 |
|---|---|
| LBN Legal business name | Bedore, Gerald M. |
| Credentials | APN/CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2008 |
| Last updated | Jun 6th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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