Provider Demographics
NPI:1285726885
Name:EILERS, DAVID BERNARD (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:BERNARD
Last Name:EILERS
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 1:156 N OAK PARK AVE
Mailing Address - Street 2:4B
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1320
Mailing Address - Country:US
Mailing Address - Phone:708-445-9013
Mailing Address - Fax:
Practice Address - Street 1:220 SCOTT DR
Practice Address - Street 2:
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141-2000
Practice Address - Country:US
Practice Address - Phone:708-202-8387
Practice Address - Fax:708-202-3636
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology