Individual
MICHAEL PAUL BEDNARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 WEST JACKSON STREET, SUITE 104, MACOMB, IL 61455
(309) 575-3222
(309) 404-8000
Mailing address
1601 WEST JACKSON STREET, SUITE 104, MACOMB, IL 61455
(309) 575-3222
(309) 404-8000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036100780
IL
2084P0800X
Psychiatry Physician
Primary
36100780
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100780
—
IL
Enumeration date
06/02/2006
Last updated
04/21/2021
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