Individual
DR. MARC D BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 W WELLINGTON AVE, #210, CHICAGO, IL 60657-7187
(773) 458-4671
(847) 328-3565
Mailing address
2027 COLFAX ST, EVANSTON, IL 60201-2531
(773) 458-4671
(847) 328-3565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036095995
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095995
—
IL
Enumeration date
05/24/2006
Last updated
06/08/2015
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