Bernales, Ricardo
Bernales, Ricardo is an sole proprietor health care provider with primary practice located at 3240 S Oak Park Ave , Berwyn IL 60402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Bernales, Ricardo can be contacted via phone (708) 795-7760.Contact Information
Primary practice address
3240 S Oak Park Ave
Berwyn IL 60402
Phone: (708) 795-7760
Fax: (708) 788-8141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 36057501 | Illinois |
Profile Details
| NPI number | 1952343097 |
|---|---|
| LBN Legal business name | Bernales, Ricardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952343097 | NPPES |
| Illinois | Other | 36057501 | IL LIC |
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