Organization
ALLEN C BERNTHAL M D LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN C BERNTHAL M.D. (PRESIDENT)
(708) 749-4617
Entity
Organization
Contact information
Practice address
6827 STANLEY AVE, BERWYN, IL 60402-3287
(708) 749-4617
(708) 749-0094
Mailing address
6827 STANLEY AVE, BERWYN, IL 60402-3287
(708) 749-4617
(708) 749-0094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036054138
IL
Other
Enumeration date
06/22/2010
Last updated
09/30/2010
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