Individual
GAYLE F BERESKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1875 DEMPSTER ST STE 180, PARK RIDGE, IL 60068-1144
(844) 725-5238
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
036148880
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01336551
—
CO
01
—
10401404
CAQH
—
Enumeration date
06/22/2006
Last updated
03/07/2023
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