Individual
PENELOPE BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 W ROOSEVELT RD, CHICAGO, IL 60608-1316
(312) 413-8119
Mailing address
2045 W WAVELAND AVE, CHICAGO, IL 60618-4949
(773) 935-7582
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
IL
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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