Healthcare Provider Details

I. General information

NPI: 1013828540
Provider Name (Legal Business Name): MARI BERLIANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 S MICHIGAN AVE STE 121
CHICAGO IL
60604-4302
US

IV. Provider business mailing address

332 S MICHIGAN AVE STE 121
CHICAGO IL
60604-4302
US

V. Phone/Fax

Practice location:
  • Phone: 312-560-9133
  • Fax:
Mailing address:
  • Phone: 312-560-9133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: