MRS. TINA LOUISE BERNARDI


Address: 1170 E Belvidere Rd, Suite 212, Grayslake, IL 60030-2061
Phone: 8475436814

MRS. TINA LOUISE BERNARDI (NPI# 1235597485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235597485
Entity Type Individual
Full Name MRS. TINA LOUISE BERNARDI
Credential ACNP
Practice Address 1170 E Belvidere Rd
Suite 212
Grayslake
IL 60030-2061
Mailing Address 1170 E Belvidere Rd
Grayslake
IL 60030-2061
Practice Telephone 8475436814
Practice Fax Number 8475430787
Mailing Telephone 8475436814
Enumeration Date 2016-02-03
Last Update Date 2016-02-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
209004885 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1170 E BELVIDERE RD
SUITE 212
City GRAYSLAKE
State IL
Zip Code 60030-2061

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NPI Name Taxonomy Address Enumeration
1891393781 Camelot Care Centers, LLC Clinic/Center 34121 North Route 45 Suite 207, Grayslake, IL 60030 2020-10-13
1992347892 Pier London Social Worker 18640 Belivdere Rd., Grayslake, IL 60030 2019-10-11
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1255850780 Megan B March Speech-Language Pathologist 33089 N Battershall Rd, Grayslake, IL 60030 2017-09-15
1669992665 Easy Oxygen Inc. Durable Medical Equipment & Medical Supplies 1862 E Belvidere Road #125, Grayslake, IL 60030 2017-06-21
1184163628 Surprenant Chiropractic LLC Clinic/Center 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 2017-02-16
1700230976 Camelot Care Centers, LLC. Foster Care Agency 34121 North Route 45, Suite 207, Grayslake, IL 60030 2016-04-14
1932560414 Vital Therapeutics Inc Physical Therapist 34121 N Us 45, Suite 101, Grayslake, IL 60030 2016-03-11
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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1992276497 Laura Beth Miller Nurse Practitioner 302 W Hay St Ste 110, Decatur, IL 62526-4167 2018-12-09
1932674322 Ashleigh M Poptic Nurse Practitioner 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 2018-10-11
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Competitor

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City GRAYSLAKE
Zip Code 60030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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