Individual
ANGEL BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
610 W OTTAWA ST, LANSING, MI 48933-1056
(773) 908-8975
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01082411A
IN
207P00000X
Emergency Medicine Physician
Primary
036150262
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
07/02/2020
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