Organization
JOHN BERNADYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BERNADYN LNHA (NURSING HOME ADMINISTRATOR)
(312) 914-0991
Entity
Organization
Contact information
Practice address
1407 BELLEVIEW AVE, ROCKDALE, IL 60436-2533
(312) 914-0991
Mailing address
1407 BELLEVIEW AVE, ROCKDALE, IL 60436-2533
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
044010067
IL
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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