Healthcare Provider Details

I. General information

NPI: 1164666103
Provider Name (Legal Business Name): KAREN MARIE BERHINIG APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN MARIE KWAPIS APN

II. Dates (important events)

Enumeration Date: 04/21/2009
Last Update Date: 05/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 S 5TH AVE BUILDING 228, ROOM B1001
HINES IL
60141-3030
US

IV. Provider business mailing address

5000 S 5TH AVE BLDG 217
HINES IL
60141-3030
US

V. Phone/Fax

Practice location:
  • Phone: 708-202-8387
  • Fax:
Mailing address:
  • Phone: 708-202-2282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209007406
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number209007406
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: