MEDICARE: DR. MICHAEL H BERKSON MD

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
1	207N00000X	Dermatology Physician	036088539	IL

General Provider Information

NPI Number	:	1588645741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL H BERKSON MD

Provider Business Mailing Address
First Line	:	801 YORK ST
Second Line	:
City	:	MANITOWOC
State	:	WI
Zip	:	54220-4630
Country	:	US
Telephone Number	:	866-630-9882
Fax Number	:	920-682-5810

Provider Business Practice Location Address
First Line	:	3253 S HARLEM AVE STE 1A
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-3073
Country	:	US
Telephone Number	:	708-788-3885
Fax Number	:	708-788-6884

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	01/15/2026

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