Carolyn Ann Berkes, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036082873 Issued in IL

Practice address

3070 South Wolf Road
Westchester, IL 60154

Phone

(708) 562-6502

Fax

(708) 562-6630

NPI assigned

Dec 27, 2006

Last updated

Oct 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Carolyn Ann Berkes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C & C Pediatrics SC

  • Pediatrics Physician
  • Westchester, IL
  • NPI 1356566897
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1316002603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 SOUTH WOLF ROAD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-562-6502",
            "fax_number": "708-562-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 SOUTH WOLF ROAD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-562-6502",
            "fax_number": "708-562-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKES",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036082873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082873",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "BERKES",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa V. Balcerak, D.D.S.
• Alex James Baro, ATC, COF
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• Kenneth R Beck, MD
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• Jeffrey P. Bernier, D.D.S.
• Tyler Joseph Biederman, PHARMD
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• Tess Ann Boghossian

• Pediatrics Physician in Westchester, IL
• Providers in Westchester, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.