# ERT FAMILY PRACTICE, S.C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538265616
- **Authorized official:** DR. MICHELLE ANN BARDACK MD (PRESIDENT)
- **Authorized official phone:** (630) 915-4019

## Contact information

- **Practice address:** 2000 OGDEN AVE, AURORA, IL 60504-7222
- **Practice address phone:** (630) 978-4810
- **Mailing address:** 4828 LINSCOTT AVE, DOWNERS GROVE, IL 60515-3539
- **Mailing address phone:** (630) 915-4019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 109696 | IL | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/22/2020