| Marc D. Bear, M.d., Llc | |
|
1011 W Wellington Ave #210 Chicago IL 60657-7187 | |
| (773) 458-4671 | |
| (847) 328-3565 |
| Full Name | Marc D. Bear, M.d., Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1011 W Wellington Ave, Chicago, Illinois |
| Authorized Official Name and Position | Marc D Bear (PHYSICIAN/MANAGER) |
| Authorized Official Contact | 7734584671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc D. Bear, M.d., Llc 2027 Colfax St Evanston IL 60201-2531 Ph: (773) 458-4671 | Marc D. Bear, M.d., Llc 1011 W Wellington Ave #210 Chicago IL 60657-7187 Ph: (773) 458-4671 |
| NPI Number | 1548564537 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 06/13/2015 |
| Medicare PECOS PAC ID | 7416272323 |
|---|---|
| Medicare Enrollment ID | O20150218001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548564537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-095995 (Illinois) | Primary |
| Provider Name | Marc D Bear |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821043290 PECOS PAC ID: 7012932510 Enrollment ID: I20051013000723 |
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