Organization
GABRIEL I. BERLIN, MD, LLC
Active
Organization
GABRIEL I. BERLIN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL I. BERLIN MD (MEMBER)
(847) 998-5700
Entity
Organization
Contact information
Practice address
3633 W LAKE AVE, SUITE 302, GLENVIEW, IL 60026-5805
(847) 998-5700
(847) 998-5795
Mailing address
3633 W LAKE AVE, SUITE 302, GLENVIEW, IL 60026-5805
(847) 998-5700
(847) 998-5795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01638042
BLUE CROSS/BLUE SHIELD
IL
05
—
036053249
—
IL
Enumeration date
01/16/2007
Last updated
08/18/2008
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