Bernas, Eliza F
Bernas, Eliza F is an individual health care provider with primary practice located at 1 Tiffany Pt Suite 105, Bloomingdale IL 60108-2936. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bernas, Eliza F can be contacted via phone (630) 980-1400.Contact Information
Primary practice address
1 Tiffany Pt Suite 105
Bloomingdale IL 60108-2936
Phone: (630) 980-1400
Fax: (630) 980-1441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036088229 | Illinois |
Profile Details
| NPI number | 1326075854 |
|---|---|
| LBN Legal business name | Bernas, Eliza F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Oct 1st, 2014 - about 10 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 | 1326075854 | NPPES |
| Illinois | Other | 0222075 | BLUE CROSS GROUP NUMBER |
| Illinois | Other | 363149833 | BLUE CROSS GROUP NUMBER |
| Illinois | MEDICAID | 036088229 | BLUE CROSS GROUP NUMBER |
| Illinois | Other | 3631498336019001 | BLUE CROSS GROUP NUMBER |
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