Individual
BERNARD G. EWIGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSPH
Contact information
Practice address
9977 WOODS DR FL 1, SKOKIE, IL 60077
(224) 364-2273
(847) 663-8290
Mailing address
9977 WOODS DR FL 1, SKOKIE, IL 60077-1057
(224) 364-2273
(847) 663-8290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036107523
IL
Other
Enumeration date
06/10/2009
Last updated
02/11/2021
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