Individual
DR. MARK ALLAN BERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 N WESTMORELAND RD, SUITE 222, LAKE FOREST, IL 60045-1674
(847) 234-6121
(847) 482-0363
Mailing address
900 N WESTMORELAND RD, SUITE 222, LAKE FOREST, IL 60045-1674
(847) 234-6121
(847) 482-0363
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036068947
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068947
—
IL
Enumeration date
04/27/2006
Last updated
01/26/2010
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