MEDICARE: DR. MICHAEL H BERKSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	036-052590	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	791203314	OTHER		RR MEDICARE
4	200008160	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0451517835	OTHER		BLUE SHIELD

General Provider Information

NPI Number	:	1427057728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL H BERKSON M.D.

Provider Business Mailing Address
First Line	:	530 PARK AVE E
Second Line	:
City	:	PRINCETON
State	:	IL
Zip	:	61356
Country	:	US
Telephone Number	:	815-875-2811
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 PARK AVE E STE 306
Second Line	:
City	:	PRINCETON
State	:	IL
Zip	:	61356-3903
Country	:	US
Telephone Number	:	815-876-3099
Fax Number	:	815-876-3003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	12/09/2020

Similar Medicare Providers

1225145725 — ALLEN UYEN VAN MD
Practice Location Address:

530 PARK AVE E STE 306
PRINCETON, IL
61356-3903

Practice Phone: 815-876-3033
Practice Fax:

1407028780 — JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Practice Location Address:

530 PARK AVE E STE 306
PRINCETON, IL
61356-3903

Practice Phone: 815-876-3033
Practice Fax: 815-876-3003

1952877243 — JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Practice Location Address:

530 PARK AVE E STE 303
PRINCETON, IL
61356-3903

Practice Phone: 815-872-3034
Practice Fax: 815-872-3019

1336997840 — OSF HEALTHCARE SYSTEM
Practice Location Address:

530 PARK AVE E STE 303B
PRINCETON, IL
61356-3903

Practice Phone: 815-875-2811
Practice Fax:

1124021308 — JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Practice Location Address:

530 PARK AVE E
PRINCETON, IL
61356-3901

Practice Phone: 815-875-2811
Practice Fax: 815-876-4455

1932191806 — JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Practice Location Address:

530 PARK AVE E
PRINCETON, IL
61356-3901

Practice Phone: 815-875-4114
Practice Fax: 815-875-4112

Directions to “ DR. MICHAEL H BERKSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.