RICARDO BERNALES MD

Allergy and Immunology

Berwyn, Illinois

Provider NPI: 1952343097

Provider Information:
 RICARDO  BERNALES MD


Practice Location:
3240 S OAK PARK AVE  BERWYN, IL 60402 US
Tel: 708-795-7760  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	IL	36057501

Other Provider Identifiers:

Issuer	Number	State	Type
IL LIC	36057501	IL	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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