Individual
DR. ALLEN C. BERNTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
036054138
IL
207RG0100X
Gastroenterology Physician
Primary
036054138
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054138
—
IL
Enumeration date
01/22/2006
Last updated
02/25/2015
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