(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003075706
Provider Name: GERALD M. BEDORE APN/CNP
Entity Type: Individual
Taxonomy Code: 363LA2200X
Specialty: Nurse Practitioner
License Number: 209.004416
Most Important Dates
Enumeration Date: 06/06/2008
Last Updated: 06/06/2008
Provider Practice Location
835 S WOLCOTT AVE RM E-144
CHICAGO
IL
606123748
Practice Location Phone/Fax
Phone: 3129967420
Fax: 3124138485
Provider Mailing Location
835 S WOLCOTT AVE RM E-144
CHICAGO
IL
606123748
Provider Mailing Phone/Fax
Phone: 3129967420
Fax: 3124138485