Mark Allan Berk, M.D.
Individual provider Active NPI Dermatology Physician · Lake Forest, IL
NPI 1235196858 · NPPES record last updated Jan 26, 2010
Key facts
- NPI
- 1235196858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 036068947 (IL)
- Practice address
- 900 N Westmoreland Rd
Suite 222
Lake Forest, IL 60045-1674 - Phone
- (847) 234-6121
- Fax
- (847) 482-0363
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatologists of Illinois, PLLC
Practice addresses (Care Compare)
225 E Deerpath
Suite 50
Lake Forest, IL 60045-1970
Phone (847) 234-6121
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 2175 |
| Removal or shaving of skin growth | 630 |
| Skin biopsy | 351 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041011000073 | IL | Practitioner - Dermatology | 3971562448 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036068947 | IL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatologists of Illinois, PLLC | Dermatology | Current |
Accepting new patients |
| North Shore Rheumatology | Past | Accepting new patients |
Locations
3000 N Halsted St
Ste 320
Chicago, IL 60657
Phone (773) 296-3636
3000 N Halsted St
Ste 201
Chicago, IL 60657
Phone (773) 296-2636
2551 Compass Rd
Ste 105
Glenview, IL 60026
Phone (847) 901-0252
900 N Westmoreland Rd
Ste 222
Lake Forest, IL 60045
Phone (847) 234-6121
225 E Deerpath
Ste 50
Lake Forest, IL 60045
Phone (847) 234-6121
Interoperability endpoints
- mberk@doi.emadirect.md
- mberk237941@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036068947 | IL | Yes |
Addresses
Primary practice location
900 N Westmoreland Rd
Suite 222
Lake Forest, IL 60045-1674
Mailing address
900 N Westmoreland Rd
Suite 222
Lake Forest, IL 60045-1674
Phone (847) 234-6121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036068947 | Medicaid | IL |
Other providers in Lake Forest, IL
- Adam W. Bennett
- Ann Benny Stephen
- Deborah L Berg
- Joyce Ellen Berger
- Mimi Claire Bergman
- Samantha Berkson
- Harold G. Berner
- Stephanie Berry
- Andrea Erickson Best
- Kunjan Satishkumar Bhakta
All providers in Lake Forest, IL · Dermatology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.