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Individual

DR. BERNARD BAYLON SALVADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7 BLANCHARD CIR, WHEATON, IL 60189-2039
(630) 510-9009
Mailing address
7 BLANCHARD CIR, WHEATON, IL 60189-2037
(630) 510-9009

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207Q00000X
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036123331
IL
01
1619414
BCBS GRP
IL
01
920540
MEDICARE PTAN GROUP
IL
01
F400114946
MEDICARE PIN/PTAN (CADENCE)
IL
Enumeration date
08/04/2008
Last updated
05/13/2014
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