Individual
JEFFREY B BERNFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 WAUKEGAN RD, 5 METTAWA LANE, RIVERWOODS, IL 60015-3551
(847) 374-8100
(847) 374-8125
Mailing address
5 METTAWA LANE, SUITE 108, RIVERWOODS, IL 60015-3551
(847) 374-8100
(847) 374-8125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036075337
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075337
—
IL
01
—
P00174158
RAILROAD MEDICARE
IL
Enumeration date
12/28/2005
Last updated
05/04/2011
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