Individual
MADELINE BERTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.S
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(917) 733-9926
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 695-8630
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/06/2015
Last updated
12/03/2017
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