Tallat Mamoon Berki, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

366 Coralynn CT
Willowbrook, IL 60527-1895

Phone

(630) 346-8470

NPI assigned

May 9, 2018

Last updated

May 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tallat Mamoon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1356830855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 CORALYNN CT",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605271895",
            "telephone_number": "630-346-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 CORALYNN CT",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605271895",
            "telephone_number": "630-346-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKI",
        "first_name": "TALLAT",
        "middle_name": "MAMOON",
        "name_prefix": "Mrs.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALLAT",
            "last_name": "MAMOON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Bechtold, MA CCC-SLP
• Bohumila Bedronova
• Emma Beechen
• Jennelyn M Belcina, NP
• Barbara Georgette Bell, OTR/L
• Aaron A Bhagat, DPT
• Ritu Bhargava, D.C.
• Anthony Louis Bilotta, D.O.
• Ruchi Bindlish, P.T.
• Bio Image Inc

• Surgical Assistant in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.