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NPI Code Detail

MEDICARE: MR. VALENTIN BERMAN M.D.P.C.

MEDICARE:  MR. VALENTIN  BERMAN  M.D.P.C.
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
12084P0800XPsychiatry Physician036081190IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
131604167OTHERILBLUE CROSS BLUE SHIELD ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750428967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VALENTIN BERMAN M.D.P.C.
Provider Business Mailing Address
First Line : 3711 N PINE GROVE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-4121
Country : US
Telephone Number : 773-914-0753
Fax Number :
Provider Business Practice Location Address
First Line : 3711 PINE GROVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613
Country : US
Telephone Number : 773-914-0753
Fax Number : 708-499-3515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 05/12/2022

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