MR. GERALD M. BEDORE APN/CNP NPI 1003075706

NPI Information

NPI: 1003075706
Provider Name: MR. GERALD M. BEDORE, APN/CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
835 S WOLCOTT AVE RM E-144
CHICAGO, IL
ZIP 60612
Phone: (312) 996-7420
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MR. Gerald M. Bedore, APN/CNP is an adult health nurse practitioner in Chicago, IL. MR. Gerald M. Bedore, APN/CNP NPI is 1003075706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

835 S WOLCOTT AVE RM E-144
CHICAGO, IL
ZIP 60612-748
Phone: (312) 996-7420
Fax: (312) 413-8485

The enumeration date for this NPI number is 6/6/2008 and was last updated on 6/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	209.004416	ILLINOIS	No
2	363LA2200X	Nurse Practitioner	Adult Health	209.004416	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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