Individual
RICARDO BERNALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3240 S OAK PARK AVE, BERWYN, IL 60402
(708) 795-7760
(708) 788-8141
Mailing address
3240 S OAK PARK AVE, BERWYN, IL 60402
(708) 795-7760
(708) 788-8141
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
36057501
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36057501
IL LIC
IL
Enumeration date
06/12/2006
Last updated
07/17/2008
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