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NPI Code Detail

MEDICARE: MRS. VIDA M BARTASIUS CNM

MEDICARE: MRS. VIDA M BARTASIUS CNM
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
1207VH0002XHospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianIL

General Provider Information

NPI Number : 1831312909
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VIDA M BARTASIUS CNM
Provider Business Mailing Address
First Line : 233 W JOE ORR RD
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-1744
Country : US
Telephone Number : 708-709-7470
Fax Number :
Provider Business Practice Location Address
First Line : 233 W JOE ORR RD
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-1744
Country : US
Telephone Number : 708-709-7470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. VIDA M BARTASIUS CNM” Practice Location

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