Individual
BRUCE W CARDONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, RVT, RPHS
Contact information
Practice address
3871 N PERRYVILLE RD, ROCKFORD, IL 61114-8080
(815) 397-5554
(815) 550-0051
Mailing address
19685 WARWICK DR, BROOKFIELD, WI 53045-2225
(262) 391-5000
(815) 550-0061
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036073628
IL
2085R0202X
Diagnostic Radiology Physician
2020031768
MO
2085R0202X
Diagnostic Radiology Physician
30890
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073628
—
IL
05
—
32047900
—
WI
Enumeration date
05/05/2006
Last updated
10/28/2022
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