Provider Demographics
NPI:1205857695
Name:NEMCHAUSKY, BERNARD A (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:A
Last Name:NEMCHAUSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5000
Mailing Address - Street 2:SCI/D 128
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60141-5128
Mailing Address - Country:US
Mailing Address - Phone:708-202-2241
Mailing Address - Fax:708-202-7960
Practice Address - Street 1:16W709 MARYBETH CT
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-7052
Practice Address - Country:US
Practice Address - Phone:708-202-2241
Practice Address - Fax:708-202-7960
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology