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
Phone: (630) 472-1111
Fax: (773) 564-5186
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1164525275 | NPPES |
| Other | 2221777 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 036047859 | BLUE CROSS BLUE SHIELD |
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