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NPI Code Detail

MEDICARE: DR. MARTIN BEERMANN M.D.

MEDICARE: DR. MARTIN BEERMANN 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
1207R00000XInternal Medicine Physician036-095416IL
2208M00000XHospitalist Physician036-095416IL
3207RG0300XGeriatric Medicine (Internal Medicine) Physician036-095416IL

General Provider Information

NPI Number : 1407842594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN BEERMANN M.D.
Provider Business Mailing Address
First Line : 3001 GREEN BAY RD
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3048
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3001 GREEN BAY RD
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3048
Country : US
Telephone Number : 847-688-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 07/07/2020

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