Individual
DR. ALEJANDRO B BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 36TH STREET, PERU, IL 61354
(815) 223-4550
(815) 223-6806
Mailing address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 223-4550
(815) 223-6806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036048248
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048248
—
IL
Enumeration date
08/15/2006
Last updated
08/25/2008
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