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
Phone: (847) 864-3278
Fax: (847) 676-1727
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780795724 | NPPES |
Illinois | MEDICAID | 36082701 |
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