Bershader, Mitchell Harris

Bershader, Mitchell Harris is an individual health care provider with primary practice located at 6931 North Ave , Oak Park IL 60302-1053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bershader, Mitchell Harris can be contacted via phone (708) 763-0580.

Contact Information

Primary practice address
6931 North Ave Oak Park IL 60302-1053
Phone: (708) 763-0580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 05005847A Indiana

Profile Details

NPI number 1134328024
LBN Legal business name Bershader, Mitchell Harris
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Oct 31st, 2016 - about 10 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 1134328024 NPPES
Indiana MEDICAID 200868480
Indiana Other 000000533922
Indiana Other 05005847A
Indiana Other 000000524384

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