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Individual

DR. JOHN BERLOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3001 6TH ST, NHGL - DEPT OF UROLOGY, GREAT LAKES, IL 60088-2833
(847) 688-6960
Mailing address
PO BOX 886239, GREAT LAKES, IL 60088-6239

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G64201
CA

Other

Enumeration date
02/07/2006
Last updated
07/08/2007
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