Individual
BERNIE RANCHERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 18TH ST STE 238, CHARLESTON, IL 61920-2940
(217) 500-5484
(408) 715-5734
Mailing address
5 E CUMBERLAND RD, ALTAMONT, IL 62411-1271
(618) 483-6131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036123915
IL
207Q00000X
Family Medicine Physician
2010025569
MO
390200000X
Student in an Organized Health Care Education/Training Program
125053683
IL
Other
Enumeration date
09/04/2007
Last updated
02/18/2026
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