Individual
TERESITA BERNABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MADISON ST STE 300, OAK PARK, IL 60302-4210
(708) 486-2700
(708) 486-2702
Mailing address
1647 N KIMBALL AVE, CHICAGO, IL 60647-4803
(773) 746-0013
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209030721
IL
363LG0600X
Gerontology Nurse Practitioner
209030721
IL
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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