Individual
DR. MARK BERNHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1180 W WILSON ST, STE E, BATAVIA, IL 60510-7611
(630) 879-5700
Mailing address
1300 WATERFORD DR, LOWER LEVEL, AURORA, IL 60504-5502
(630) 851-1206
(630) 820-9398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-068148
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068148
—
IL
Enumeration date
05/04/2006
Last updated
12/04/2009
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