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1235204397
KEITH BERNDTSON
PARK RIDGE, IL
NPI
1235204397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 36-067274)
Enumeration Date
2006-11-22
Last Update Date
2011-05-17
Business Address
-- KEITH BERNDTSON MD
15 N PROSPECT AVE
PARK RIDGE, IL 60068-3563
Phone number: 847-232-9800
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Mailing Address
-- KEITH BERNDTSON MD
15 N PROSPECT AVE
PARK RIDGE, IL 60068-3785
Phone number: 847-232-9800
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