Individual
DR. BRYAN A BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1725 W HARRISON ST, STE 755, CHICAGO, IL 60612-3841
(312) 563-2900
(312) 563-2024
Mailing address
1725 W HARRISON ST, STE 755, CHICAGO, IL 60612-3841
(312) 563-2900
(312) 563-2024
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004071
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071004071
LICENSE
IL
Enumeration date
12/28/2005
Last updated
08/20/2010
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