Mark Berman D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

16003176 Issued in IL

Legal business name

MARK BERMAN D.P.M.

Practice address

10024 Skokie Blvd
Suite 303
Skokie, IL 60077-9944

Phone

(847) 674-1660

Fax

(847) 674-2688

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Berman, D.P.M.NPI 1760428890

Title

Podiatrist/Owner

Phone

(847) 674-1660

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Berman, D.P.M.

  • Podiatrist
  • Skokie, IL
  • NPI 1760428890
  NPD (past) Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1518977974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 E HARBOR RIDGE WAY",
            "address_2": "SUITE E",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464911",
            "telephone_number": "847-245-4100",
            "fax_number": "847-245-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD",
            "address_2": "SUITE 303",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600779944",
            "telephone_number": "847-674-1660",
            "fax_number": "847-674-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BERMAN D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "847-674-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "16003176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003176",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revital Michelle Marcus, MD
• Joshua Marder, LMFT
• Evelyn Margolies
• Norma Cheryl Margolis, M.S. CCC-SP
• May Mazen Marie
• Mark J Landau DDS LTD
• Jennifer Rose Markese
• Malgorzata Stefania Markut, DPT
• David Benjamin Marmor, M.D.
• Marni Hope Goldberg MD SC

• Podiatrist in Skokie, IL
• Providers in Skokie, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.