Bergelson, Bruce A.

Bergelson, Bruce A. is an individual health care provider with primary practice located at 9650 Gross Point Rd Ste 4900 , Skokie IL 60076. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bergelson, Bruce A. can be contacted via phone (847) 864-3278.

Contact Information

Primary practice address
9650 Gross Point Rd Ste 4900 Skokie IL 60076
Fax: (847) 676-1727
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036082701 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036082701 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036082701 Illinois

Profile Details

NPI number 1780795724
LBN Legal business name Bergelson, Bruce A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 8th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780795724 NPPES
Illinois MEDICAID 36082701

Popular Providers