Bernadette B Mayer MD SC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036067899 Issued in IL

Legal business name

BERNADETTE B MAYER MD SC

Practice address

5365 W Devon Ave
Chicago, IL 60646-4142

Phone

(773) 775-6181

Fax

(773) 775-4699

NPI assigned

Jun 15, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bernadette B Mayer, M D

Title

Director

Phone

(773) 775-6181

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1598086399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464142",
            "telephone_number": "773-775-6181",
            "fax_number": "773-775-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464142",
            "telephone_number": "773-775-6181",
            "fax_number": "773-775-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNADETTE B MAYER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-775-6181",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036067899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Bermudez
• Maximo Bermudez, MD
• Mayela Bermudez, FNP
• Penelope Bermudez
• Abigail Bernabe Soto
• Bernadette Kelly LCPC PLLC
• Aaron Michael Bernal
• Beatriz Bernal
• Vivian A Bernal, OT
• Alyssa Gail Bernanke, MD/PHD

• Medical Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.