Individual
DR. MATTHEW MICHAEL BERNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2477
(847) 570-2942
Mailing address
2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2477
(847) 570-2942
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
036138021
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036138021
IL
2085R0202X
Diagnostic Radiology Physician
4301094894
MI
Other
Enumeration date
07/03/2009
Last updated
03/02/2022
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