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Dr. Mark Berman, D.P.M.

Podiatrist in Skokie, IL. Individual provider (NPI-1).

NPI number1760428890
StatusActive
Last updated in NPPESFeb 9, 2012

Details

NPI
1760428890
Entity type
Individual (NPI-1)
Name
Dr. Mark Berman
Credential
D.P.M.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 20, 2006
Last updated
Feb 9, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist16003176ILYes

Practice location

10024 Skokie Blvd
Suite 303
Skokie, IL 60077-9944

Phone 847-674-1660 · Fax 847-674-2688

Mailing address

2402 E Harbor Ridge Way
Suite E
Lindenhurst, IL 60046-4911

Phone 847-245-4100 · Fax 847-245-4420

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