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NPI Code Detail

MEDICARE: DR. DAVID R BERNI DDS

MEDICARE:  DR. DAVID R BERNI  DDS
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
1122300000XDentistIL

General Provider Information

NPI Number : 1487866398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID R BERNI DDS
Provider Business Mailing Address
First Line : 4747 N HARLEM AVE
Second Line : SUITE D
City : HARWOOD HGTS
State : IL
Zip : 60706-4652
Country : US
Telephone Number : 708-867-4700
Fax Number : 708-867-8107
Provider Business Practice Location Address
First Line : 4747 N HARLEM AVE
Second Line : SUITE D
City : HARWOOD HGTS
State : IL
Zip : 60706-4652
Country : US
Telephone Number : 708-867-4700
Fax Number : 708-867-8107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID R BERNI DDS” Practice Location

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