Basic Information
Provider Information
NPI: 1376878454
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BERNS
FirstName: FRANCES
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1721 MOON LAKE BLVD STE 150
Address2:  
City: HOFFMAN ESTATES
State: IL
PostalCode: 601691070
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1721 MOON LAKE BLVD STE 150
Address2:  
City: HOFFMAN ESTATES
State: IL
PostalCode: 601691070
CountryCode: US
TelephoneNumber: 8475193650
FaxNumber: 8475193652
Other Information
ProviderEnumerationDate: 10/07/2009
LastUpdateDate: 10/07/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XL1315306MIN Nursing Service ProvidersRegistered Nurse 
363LP0808XL1315305MIY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


Home