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NPI Code Detail

MEDICARE: FRANCES BERNS NP

MEDICARE: FRANCES BERNS NP
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
1163W00000XRegistered NurseL1315306MI
2363LP0808XPsychiatric/Mental Health Nurse PractitionerL1315305MI

General Provider Information

NPI Number : 1376878454
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES BERNS NP
Provider Business Mailing Address
First Line : 1721 MOON LAKE BLVD STE 150
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-1070
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1721 MOON LAKE BLVD STE 150
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-1070
Country : US
Telephone Number : 847-519-3650
Fax Number : 847-519-3652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2009
Last Update Date : 10/07/2009

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