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NPI Code Detail

MEDICARE: MARK M BERNARDI DO

MEDICARE:   MARK M BERNARDI  DO
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
1207RI0011XInterventional Cardiology Physician036176526IL

General Provider Information

NPI Number : 1750375606
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK M BERNARDI DO
Provider Business Mailing Address
First Line : 2000 OGDEN AVE STE P050
Second Line :
City : AURORA
State : IL
Zip : 60504-5893
Country : US
Telephone Number : 630-978-6200
Fax Number :
Provider Business Practice Location Address
First Line : 2088 OGDEN AVE STE 160
Second Line :
City : AURORA
State : IL
Zip : 60504-4383
Country : US
Telephone Number : 630-851-6440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 12/01/2025

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Directions to “ MARK M BERNARDI DO” Practice Location

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