1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Nurse Practitioner
  6. NPI Profile

MR. GERALD M. BEDORE APN/CNP
NPI 1003075706
Nurse Practitioner - Adult Health in Chicago, IL

Active since June 06, 2008
835 S WOLCOTT AVE RM E-144, CHICAGO, IL 60612(312) 996-7420(312) 413-8485 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Gerald M. Bedore Apn/cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GERALD M. BEDORE APN/CNP (NPI 1003075706) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209.004416) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1003075706
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. GERALD M. BEDORECredential: APN/CNP
Location Address835 S WOLCOTT AVE RM E-144Chicago, IL 60612-3748
Mailing Address835 S Wolcott Ave Rm E-144Chicago, IL 60612-3748 · (312) 996-7420 · Fax (312) 413-8485
Phone(312) 996-7420
Fax(312) 413-8485
Sole ProprietorNo
Enumeration DateJune 6, 2008
✔ NPI 1003075706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209.004416
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209.004416 (IL)
835 S WOLCOTT AVE RM E-144, Chicago, IL 60612
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Bedore's NPI number?

The NPI number for Gerald Bedore is 1003075706. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Gerald Bedore located?

Gerald Bedore practices at 835 S Wolcott Ave Rm E-144, Chicago, IL 60612. The listed phone number is (312) 996-7420.

What is Gerald Bedore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Gerald Bedore was last updated on June 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.