Cardone, Bruce W

Cardone, Bruce W is an sole proprietor health care provider with primary practice located at 3871 N Perryville Rd , Rockford IL 61114-8080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cardone, Bruce W can be contacted via phone (815) 397-5554.

Contact Information

Primary practice address
3871 N Perryville Rd Rockford IL 61114-8080
Phone: (815) 397-5554
Fax: (815) 550-0051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2020031768 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30890 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036073628 Illinois

Profile Details

NPI number 1699723965
LBN Legal business name Cardone, Bruce W
Credentials MD, RVT, RPHS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Oct 28th, 2022 - about 2 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 1699723965 NPPES
Illinois MEDICAID 036073628
Illinois MEDICAID 32047900

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