Individual provider · NPI-1

Dr. Lisa Berman

Family Medicine · Elmhurst, IL

NPI number1871752220
StatusActive
Last updated in NPPESJun 2, 2008

Details

NPI
1871752220
Entity type
Individual (NPI-1)
Name
Dr. Lisa Berman
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 2, 2008
Last updated
Jun 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036089741ILYes

Practice location

109 W Adams St
Elmhurst, IL 60126-4873

Phone 630-516-0117

Mailing address

109 W Adams St
Elmhurst, IL 60126-4873

Phone 630-516-0117

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