| Gabriel I. Berlin, Md, Llc | |
|
3633 W Lake Ave Suite 302 Glenview IL 60026-5805 | |
| (847) 998-5700 | |
| (847) 998-5795 |
| Full Name | Gabriel I. Berlin, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3633 W Lake Ave, Glenview, Illinois |
| Authorized Official Name and Position | Gabriel I. Berlin (MEMBER) |
| Authorized Official Contact | 8479985700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel I. Berlin, Md, Llc 3633 W Lake Ave Suite 302 Glenview IL 60026-5805 Ph: (847) 998-5700 | Gabriel I. Berlin, Md, Llc 3633 W Lake Ave Suite 302 Glenview IL 60026-5805 Ph: (847) 998-5700 |
| NPI Number | 1043362718 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/18/2008 |
| Medicare PECOS PAC ID | 9739181215 |
|---|---|
| Medicare Enrollment ID | O20070213000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043362718 | NPI | - | NPPES |
| 01638042 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 036053249 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gabriel I Berlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831296474 PECOS PAC ID: 5092717579 Enrollment ID: I20070213000369 |
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