Individual
BERNARD J VONDERHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
3240 W DIVISION ST, CHICAGO, IL 60651-2405
(312) 413-7425
Mailing address
2216 W BELMONT AVE # 2F, CHICAGO, IL 60618-6421
(773) 391-6703
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.018283
IL
Other
Enumeration date
12/18/2018
Last updated
12/28/2018
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