NPI 1003075706
Gerald M. Bedore, APNCNP
Practice location
- Address
- 835 S Wolcott Ave Rm E-144, Chicago, IL 60612-3748
- Phone
- (312) 996-7420
- Fax
- (312) 413-8485
Registered specialties (2)
Adult Health Nurse Practitioner
Primary
Gerontology Nurse Practitioner
Registry record
- NPI
- 1003075706
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jun 2008
- Record last updated
- 6 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.