Healthcare Provider Details

I. General information

NPI: 1396722815
Provider Name (Legal Business Name): ZAFEER HUSSAIN KHAN BERKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 CLAYMOOR APT 3D
HINSDALE IL
60521-5082
US

IV. Provider business mailing address

360 CLAYMOOR APT 3D
HINSDALE IL
60521-5082
US

V. Phone/Fax

Practice location:
  • Phone: 847-984-0585
  • Fax: 847-908-7564
Mailing address:
  • Phone: 847-984-0585
  • Fax: 847-908-7564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number036094090
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036094090
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: