Individual
LUKUS ANTONIO BERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-9340
(847) 318-2966
Mailing address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-9340
(847) 318-2966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.083803
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2024
Last updated
06/13/2024
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