Organization
ERT FAMILY PRACTICE, S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ANN BARDACK MD (PRESIDENT)
(630) 915-4019
Entity
Organization
Contact information
Practice address
2000 OGDEN AVE, AURORA, IL 60504-7222
(630) 978-4810
Mailing address
4828 LINSCOTT AVE, DOWNERS GROVE, IL 60515-3539
(630) 915-4019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
109696
IL
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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