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Individual

DR. BERNADETTE MAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5365 WEST DEVON AVENUE, CHICAGO, IL 60646
(773) 775-6181
(773) 775-4699
Mailing address
5365 WEST DEVON AVENUE, CHICAGO, IL 60646
(773) 775-6181
(773) 775-4699

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01625778
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/08/2006
Last updated
07/08/2007
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