Individual
DR. PHILIP J BERENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2604 DEMPSTER ST, SUITE 306, PARK RIDGE, IL 60068-8412
(847) 687-5903
Mailing address
2604 DEMPSTER ST, SUITE 306, PARK RIDGE, IL 60068-8412
(847) 687-5903
(847) 430-3357
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036041149
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036041149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-041149
—
IL
Enumeration date
12/05/2006
Last updated
05/08/2013
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