Bernard R Bach is a Sports Medicine in Chicago, Illinois. Bernard R Bach practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Bernard R Bach is 1407835309. The last update date is 2018-09-19.
Bernard R Bach's current location address is 1611 W Harrison St, Chicago, Illinois. You can contact this provider via phone number 3122434244 and fax number 3129421517. The mailing address for Bernard R Bach is 1611 W Harrison St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernard R Bach |
|---|---|
| Address | 1611 W Harrison St, Chicago, Illinois |
| Phone Number | 3122434244 |
| Fax Number | 3129421517 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407835309 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2018-09-19 |
Provider Mailing Address Detail
| Address | 1611 W Harrison St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606123841 |
| Phone Number | 3122434244 |
| Fax Number | 3129421517 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 36073187 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4028377 | AETNA | ||
| 1633878 | IL | BCBS | |
| 207073 | IL | MEDICARE PTAN LOCALITY 15 | |
| 207067 | IL | MEDICARE PTAN LOCALITY 16 | |
| P00095130 | RAILROAD MEDICARE | ||
| DA4902 | RAILROAD MEDICARE PTAN | ||
| 36073187 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bernard R Bach by the Centers for Medicare & Medicaid Services (CMS)?
The Bernard R Bach has been assigned the NPI (National Provider Identifier) 1407835309. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Bernard R Bach's facilities are geographically located?
The facilities of Bernard R Bach are physically situated at the following location: 1611 W Harrison St, Chicago, IL, 606123841.
What is Bernard R Bach's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bernard R Bach is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407835309 to Bernard R Bach?
The Bernard R Bach received its 1407835309 assignment from the Centers for Medicare & Medicaid Services on 2006-01-10.
As of what date was the information regarding Bernard R Bach, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bernard R Bach, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-09-19.
NPI Number: 1982607784
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