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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