Individual provider · Type 1 NPI
Gerald M. Bedore, APN/CNP
Adult Health Nurse Practitioner · Chicago, IL
NPI number
1003075706
Active
Practice location
835 S Wolcott Ave Rm E-144
Chicago, IL 60612-3748
Fax (312) 413-8485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209.004416 (IL) |
| Gerontology Nurse Practitioner | 363LG0600X | 209.004416 (IL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1003075706
Gerald M. Bedore, APN/CNP's National Provider Identifier is 1003075706, issued on Jun 6, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chicago, IL. The record was last updated on Jun 6, 2008.