Vivian A Bernal in Chicago - Specialist

Vivian A Bernal - NPI 1306890553

Vivian A Bernal is a Specialist in Chicago, Illinois. Vivian A Bernal practices all healthcare services and medical treatments related to Specialist. The NPI Number for Vivian A Bernal is 1306890553. The last update date is 2012-09-04.

Vivian A Bernal's current location address is 4646 N Marine Dr, Chicago, Illinois. You can contact this provider via phone number 7735645688. The mailing address for Vivian A Bernal is 4646 N Marine Dr, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Vivian A Bernal
Address 4646 N Marine Dr, Chicago, Illinois
Phone Number 7735645688
Fax Number
Sole Proprietor N
Credentials OT

NPI Number Detail

NPI Number 1306890553
Provider Enumeration Date 2006-05-20
Last Updated Date 2012-09-04

Provider Mailing Address Detail

Address 4646 N Marine Dr
City Chicago
State Illinois (IL)
Post Code 606405759
Phone Number 7735645688
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 056-004476
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Vivian A Bernal

What is the unique 10-digit identification code issued to Vivian A Bernal by the Centers for Medicare & Medicaid Services?

The Vivian A Bernal has been assigned the NPI (National Provider Identifier) 1306890553 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Vivian A Bernal is geographically located?

The Vivian A Bernal is physically situated at the following location: 4646 N Marine Dr, Chicago, IL, 606405759.

What is Vivian A Bernal's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Vivian A Bernal is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1306890553 to Vivian A Bernal?

The Centers for Medicare & Medicaid Services originally issued the 1306890553 to Vivian A Bernal on 2006-05-20.

When was the information regarding Vivian A Bernal most recently updated?

The details pertaining to the Vivian A Bernal, including its address, specialty, and other relevant information, were last refreshed on 2012-09-04.

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