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1255803045
BERNARD J VONDERHAAR
CHICAGO, IL
NPI
1255803045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209.018283)
Enumeration Date
2018-12-18
Last Update Date
2018-12-28
Business Address
BERNARD J VONDERHAAR DNP
3240 W DIVISION ST
CHICAGO, IL 60651-2405
Phone number: 312-413-7425
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Mailing Address
BERNARD J VONDERHAAR DNP
2216 W BELMONT AVE # 2F
CHICAGO, IL 60618-6421
Phone number: 773-391-6703
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