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NPI Code Detail

MEDICARE: DR. DANIEL CHARLES BERMAN D.M.D.

MEDICARE:  DR. DANIEL CHARLES BERMAN  D.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
1122300000XDentist019021043IL

General Provider Information

NPI Number : 1528282449
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL CHARLES BERMAN D.M.D.
Provider Business Mailing Address
First Line : 8 S MICHIGAN AVE STE 1306
Second Line :
City : CHICAGO
State : IL
Zip : 60603-3377
Country : US
Telephone Number : 312-332-4003
Fax Number : 312-332-4278
Provider Business Practice Location Address
First Line : 8 S MICHIGAN AVE STE 1306
Second Line :
City : CHICAGO
State : IL
Zip : 60603-3377
Country : US
Telephone Number : 312-332-4003
Fax Number : 312-332-4278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DANIEL CHARLES BERMAN D.M.D.” Practice Location

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