Bernhard, Mark

Bernhard, Mark is an individual health care provider with primary practice located at 1180 W Wilson St Ste E, Batavia IL 60510-7611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bernhard, Mark can be contacted via phone (630) 879-5700.

Contact Information

Primary practice address
1180 W Wilson St Ste E Batavia IL 60510-7611
Phone: (630) 879-5700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-068148 Illinois

Profile Details

NPI number 1649228727
LBN Legal business name Bernhard, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 4th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649228727 NPPES
Illinois MEDICAID 036068148

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