Individual
DR. DAVID BERKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
405 N WABASH AVE APT 4003, CHICAGO, IL 60611-5683
(773) 517-5211
Mailing address
919 W OAKDALE AVE APT K1, CHICAGO, IL 60657-5044
(773) 517-5211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007635
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071007635
STATE LICENSE NUMBER
IL
Enumeration date
05/20/2009
Last updated
05/20/2009
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