Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 036126549 | IL |
NPI | 1467784579 |
---|---|
Provider Name | Lia Ann Bernardi |
First Address | Chicago, IL 60611-2914 |
Second Address | Chicago, IL 60611-2987 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2010 |
Last Update Date | 10/05/2016 |