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NPI Code Detail

MEDICARE: DR. JULIO MOCELLIN BERNARDI MD

MEDICARE: DR. JULIO MOCELLIN BERNARDI MD
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
12084P0800XPsychiatry Physician2012076739MO

General Provider Information

NPI Number : 1265789341
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIO MOCELLIN BERNARDI MD
Provider Business Mailing Address
First Line : 1440 W TAYLOR ST STE 201
Second Line :
City : CHICAGO
State : IL
Zip : 60607-4623
Country : US
Telephone Number : 773-919-1849
Fax Number : 312-748-4296
Provider Business Practice Location Address
First Line : 1440 W TAYLOR ST STE 201
Second Line :
City : CHICAGO
State : IL
Zip : 60607-4623
Country : US
Telephone Number : 773-919-1849
Fax Number : 312-748-4296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2012
Last Update Date : 10/30/2024

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