MEDICARE: DR. STUART BERGER 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	2080P0202X	Pediatric Cardiology Physician	31753	WI
2	2080P0202X	Pediatric Cardiology Physician	036-061898	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	002000109F	OTHER		HUMANA

General Provider Information

NPI Number	:	1811948268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART BERGER MD

Provider Business Mailing Address
First Line	:	225 E CHICAGO AVE # 21
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2991
Country	:	US
Telephone Number	:	441-449-1673
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 E CHICAGO AVE # 21
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2991
Country	:	US
Telephone Number	:	414-491-6739
Fax Number	:

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/29/2025

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Directions to “ DR. STUART BERGER MD” Practice Location

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