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Individual

ISRAEL BERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9669 KENTON AVE, SUITE 306, SKOKIE, IL 60076-1266
(847) 329-0900
(847) 679-3817
Mailing address
9669 KENTON AVE, SUITE 306, SKOKIE, IL 60076-1266
(847) 329-0900
(847) 679-3817

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036047464
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036047464
IL
Enumeration date
07/19/2006
Last updated
11/20/2007
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