Norman Charles Berliant, R.PH.
Individual provider Active NPI Pharmacist · Hines, IL
NPI 1518138262 · NPPES record last updated Mar 20, 2008
Key facts
- NPI
- 1518138262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 5TH Ave & Roosevelt Rd
Hines, IL 60141-5221 - Phone
- (708) 786-7820
- NPI assigned
- Mar 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.027894 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Yes |
Addresses
Primary practice location
5TH Ave & Roosevelt Rd
Hines, IL 60141-5221
Mailing address
2932 Greenleaf Ave
Wilmette, IL 60091-2111
Phone (847) 256-4937
Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.