Organization
MARK BERMAN D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BERMAN D.P.M. (PODIATRIST/OWNER)
(847) 674-1660
Entity
Organization
Contact information
Practice address
10024 SKOKIE BLVD, SUITE 303, SKOKIE, IL 60077-9944
(847) 674-1660
(847) 674-2688
Mailing address
2402 E HARBOR RIDGE WAY, SUITE E, LINDENHURST, IL 60046-4911
(847) 245-4100
(847) 245-4420
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
16003176
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003176
—
IL
Enumeration date
08/09/2006
Last updated
02/08/2012
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