Individual
KEITH BERNDTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 N PROSPECT AVE, PARK RIDGE, IL 60068-3563
(847) 232-9800
(847) 232-8910
Mailing address
15 N PROSPECT AVE, PARK RIDGE, IL 60068-3785
(847) 232-9800
(847) 232-8910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36-067274
IL
Other
Enumeration date
11/22/2006
Last updated
05/17/2011
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