Bernardo Duarte
Surgeon Surgical Oncologist
1841 W. Army Trail Rd
Chicago
, Illinois 60101
Bernardo Duarte
Surgeon Surgical Oncologist
1841 W. Army Trail Rd
Chicago
, Illinois 60101
(630) 472-1125
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Bernardo Duarte
- Po Box 2143
- Highland Park, IL
- Zip : 60035-8143
- Fax : (630) 472-1125
- Phone : (630) 472-1111
Second Address
- Bernardo Duarte
- 1841 W. Army Trail Rd
- Chicago, IL
- Zip : 60101
- Fax : (773) 564-5186
- Phone : (630) 472-1111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 036047859 | IL |
| Y | 208600000X | Surgeon | 036047859 | IL |
| N | 2086X0206X | Surgical Oncologist | 036047859 | IL |
National Provider Identifier
| NPI | 1164525275 |
|---|---|
| Provider Name | Bernardo Duarte |
| First Address | Highland Park, IL 60035-8143 |
| Second Address | Chicago, IL 60101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2006 |
| Last Update Date | 09/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036047859 | (05) | IL |
| 2221777 | BLUE CROSS BLUE SHIELD (01) | |
| D13542 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.