Provider Demographics
NPI:1871951913
Name:CLAVEL-RAMOS, BERNARDINA S (MSN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:BERNARDINA
Middle Name:S
Last Name:CLAVEL-RAMOS
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:MS
Other - First Name:BERNARDINA
Other - Middle Name:S
Other - Last Name:CLAVEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:731 HANBURY DR
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1567
Mailing Address - Country:US
Mailing Address - Phone:847-693-0211
Mailing Address - Fax:
Practice Address - Street 1:13341 SOUTHWEST HWY STE 1
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-1310
Practice Address - Country:US
Practice Address - Phone:708-827-5608
Practice Address - Fax:708-310-3661
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041293486163WM0705X
IL209012834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical