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 |