Doctor Name: | AMIR BERBERKIC |
NPI Number: | 1407099617 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0-543-458-4 |
Business Practice Address: | 5273 Rfd Long Grove, IL - 60047 |
Business Phone Number: | 7733169257 |
Business Fax Number: | 8474152803 |
Mailing Address: | 5273 Rfd, LONG GROVE |
State: | IL |
Postal Code: | 600477302 |
Phone Number: | 7733169257 |
Fax Number: | 8474152803 |
NPI Enumeration Date: | 04/17/2009 |
NPI Last Update Date: | 04/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0-543-458-4 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |