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Individual

HEIDI BERTRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4806
(815) 759-4867
Mailing address
35558 N KENNETH DR, LAKE VILLA, IL 60046-7152
(847) 543-4160

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01051042A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036127213
IL

Other

Enumeration date
05/19/2006
Last updated
08/17/2023
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