MEDICARE: MRS. BERNADETTE MCWILLIAM APN-CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	209.008711	IL
2	363L00000X	Nurse Practitioner	209008711	IL

General Provider Information

NPI Number	:	1265725295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BERNADETTE MCWILLIAM APN-CNP

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE STE 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:	847-570-2040
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 PFINGSTEN RD STE 1200
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1326
Country	:	US
Telephone Number	:	847-657-1819
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	07/22/2025

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