Doctor Name: | JOHN JOSEPH BERKEMEYER |
NPI Number: | 1073687976 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 507 Thornhill Dr Ste A Carol Stream, IL - 601882706 |
Business Phone Number: | 6307529750 |
Business Fax Number: | |
Mailing Address: | 337 Chatelaine Ct, WILLOWBROOK |
State: | IL |
Postal Code: | 605273126 |
Phone Number: | 6309201824 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |