Individual
JONATHAN BERENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1805 VISTA CT, APT 202, SCHAUMBURG, IL 60193-5055
(773) 592-1604
Mailing address
1805 VISTA CT, APT 202, SCHAUMBURG, IL 60193-5055
(773) 592-1604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227.016423
IL
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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