Individual
DR. GABRIEL IRA BERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3633 W LAKE AVE, SUITE 302, GLENVIEW, IL 60026-5805
(847) 998-5700
(847) 998-5795
Mailing address
3633 W LAKE AVE, SUITE 302, GLENVIEW, IL 60026-5805
(847) 998-5700
(847) 998-5795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-053249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-06 75-012-5 I.M.
AMA EDUCATION NUMBER
—
01
—
01638042
BLUE CROSS/BLUE SHIELD
IL
05
—
036053249
—
IL
Enumeration date
09/17/2006
Last updated
08/18/2008
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