Duarte, Bernardo

Duarte, Bernardo is an sole proprietor health care provider with primary practice located at 1841 W. Army Trail Rd , Chicago IL 60101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Duarte, Bernardo can be contacted via phone (630) 472-1111.

Contact Information

Primary practice address
1841 W. Army Trail Rd Chicago IL 60101
Fax: (773) 564-5186
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036047859 Illinois
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 036047859 Illinois

Profile Details

NPI number 1164525275
LBN Legal business name Duarte, Bernardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Oct 9th, 2015 - about 9 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 1164525275 NPPES
Other 2221777 BLUE CROSS BLUE SHIELD
MEDICAID 036047859 BLUE CROSS BLUE SHIELD

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