Amir Berberkic, M.D.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0-543-458-4 Issued in IL

Practice address

5273 RFD
Long Grove, IL 60047

Phone

(773) 316-9257

Fax

(847) 415-2803

NPI assigned

Apr 17, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Royal First Assistants,Inc.

  • Surgical Technologist
  • Long Grove, IL
  • NPI 1255452157
  NPD (past)

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1407099617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5273 RFD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600477302",
            "telephone_number": "773-316-9257",
            "fax_number": "847-415-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5273 RFD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "773-316-9257",
            "fax_number": "847-415-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERBERKIC",
        "first_name": "AMIR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "0-543-458-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Awadallah, M.D.
• Lisa Babin, MD
• Richard Baker, D.O..
• Stephen Bala, MSN, APRN, FNP-BC
• Siddika Barkat, RDN, LDN, MSC
• Monica Lisa Bieszczad, FNP-BC
• Lesli Susan Bitel-Koskela, R.D., L.D.N
• Roseanne Marie Boldt, PSYD
• Lana Bratko, FNP-C
• Sara Buresh, OTR/L

• Surgical Physician Assistant in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.