Active NPI
Ronald S Berne MD SC
Doing business as A & G Dermatology Associates
- Specialist
- Chicago, IL
National Provider Identifier
1255526927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036108708
- Legal business name
- RONALD S BERNE MD SC
- Doing business as
- A & G Dermatology Associates
- Practice address
- 1733 N Harlem Ave
Chicago, IL 60707-4305 - Phone
- (773) 237-6666
- Fax
- (773) 237-7350
- NPI assigned
- Sep 6, 2007
- Last updated
- Jun 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald S Berne, M.D.
- Title
- Owner/Physician
- Phone
- (773) 237-6666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036108708 | IL | Primary |
Addresses
Primary practice location
1733 N Harlem Ave
Chicago, IL 60707-4305
Mailing address
1733 N Harlem Ave
Chicago, IL 60707-4305
Phone (773) 237-6666
Other names 1
- A & G Dermatology Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Chicago, IL
- NPI 1104920842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1255526927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "607074305",
"telephone_number": "773-237-6666",
"fax_number": "773-237-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "607074305",
"telephone_number": "773-237-6666",
"fax_number": "773-237-7350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD S BERNE MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-06",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "BERNE",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "773-237-6666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036108708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A & G Dermatology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.