Individual
LIAM BERNABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 DANA CT, ANTIOCH, IL 60002-6422
(623) 521-6464
Mailing address
1065 DANA CT, ANTIOCH, IL 60002-6422
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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