Bacardi, Brian E

Bacardi, Brian E is an individual health care provider with primary practice located at 3319 N Elston Ave Suite 100, Chicago IL 60618-5811. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Bacardi, Brian E can be contacted via phone (773) 751-7200.

Contact Information

Primary practice address
3319 N Elston Ave Suite 100 Chicago IL 60618-5811
Phone: (773) 751-7200
Fax: (773) 583-4295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016003631 Illinois

Profile Details

NPI number 1073674081
LBN Legal business name Bacardi, Brian E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated May 8th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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