Bernthal, Allen C.

Bernthal, Allen C. is an individual health care provider with primary practice located at 6827 Stanley Ave , Berwyn IL 60402-3287. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bernthal, Allen C. can be contacted via phone (708) 749-4617.

Contact Information

Primary practice address
6827 Stanley Ave Berwyn IL 60402-3287
Phone: (708) 749-4617
Fax: (708) 749-0094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036054138 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036054138 Illinois

Profile Details

NPI number 1710967989
LBN Legal business name Bernthal, Allen C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2006
Last updated Feb 25th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710967989 NPPES
Illinois MEDICAID 036054138

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