Organization
DANIEL S BERGER, M.D. LTD
Active
Other names
North Star Medical Center LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL S BERGER M.D. (MEDICAL DIRECTOR)
(773) 296-2400
Entity
Organization
Contact information
Practice address
2835 N SHEFFIELD AVE, SUITE 500, CHICAGO, IL 60657-5081
(773) 296-2400
(773) 296-1097
Mailing address
2835 N SHEFFIELD AVE, SUITE 500, CHICAGO, IL 60657-5081
(773) 296-2400
(773) 296-1097
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622085
BCBS PROVIDER NUMBER
IL
Enumeration date
02/09/2007
Last updated
08/22/2020
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