NPI Code Details Logo

NPI 1720193972

NPI 1720193972 : BERM'S ENTERPRISES, INC. : OAK LAWN, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1720193972
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BERM'S ENTERPRISES, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/20/2006
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6324 W 95TH ST 
-----------------------------------------------------
    City                 |    OAK LAWN
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60453-2202
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    708-237-2724
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    84 VENTURA CT 
-----------------------------------------------------
    City                 |    NAPERVILLE
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60540-4129
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    MR. BRIAN  GORSKI 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    630-699-2862
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    335E00000X
-----------------------------------------------------
    Taxonomy Name        |    Prosthetic/Orthotic Supplier
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.