Gabriel I. Berlin, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GABRIEL I. BERLIN, MD, LLC

Practice address

3633 W Lake Ave
Suite 302
Glenview, IL 60026-5805

Phone

(847) 998-5700

Fax

(847) 998-5795

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gabriel I. Berlin, MDNPI 1831296474

Title

Member

Phone

(847) 998-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel Ira Berlin, M.D.

  • Internal Medicine Physician
  • Glenview, IL
  • NPI 1831296474
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1043362718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 302",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-998-5700",
            "fax_number": "847-998-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 302",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-998-5700",
            "fax_number": "847-998-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL I. BERLIN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-998-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "01638042",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053249",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah Funk
• Cassie Furness, COTA/L
• G Pikovski MD S.C.
• G&R Procare LLC (Synergy Homecare Glenbrook)
• James Gabbidon, OTA/L
• Amy Gaertner
• Jacey Gagnon
• Gallery Park Pediatric Dentistry
• Jamia Lynn Galton, APN
• Jennifer Ann Galvin, M.D.

• Internal Medicine Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.