Healthcare Provider Details

I. General information

NPI: 1750375606
Provider Name (Legal Business Name): MARK M BERNARDI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2088 OGDEN AVE STE 160
AURORA IL
60504-4383
US

IV. Provider business mailing address

2000 OGDEN AVE STE P050
AURORA IL
60504-5893
US

V. Phone/Fax

Practice location:
  • Phone: 630-851-6440
  • Fax:
Mailing address:
  • Phone: 630-978-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number036176526
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: