Organization Active NPI

Harvey Berlin MD SC

  • Specialist
  • Chicago, IL
National Provider Identifier
1568543577
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036-052948 Issued in IL
Legal business name
HARVEY BERLIN MD SC
Practice address
111 N Wabash Ave
1008
Chicago, IL 60602-1903
Phone
(312) 346-5737
Fax
(312) 346-8533
NPI assigned
Oct 17, 2006
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Harvey W Berlin, MD
Title
Medical Doctor
Phone
(312) 346-5737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 036-052948 IL Primary

Addresses

Primary practice location

111 N Wabash Ave
1008
Chicago, IL 60602-1903

Mailing address

111 N Wabash Ave
1008
Chicago, IL 60602-1903
Phone (312) 346-5737

National Provider Directory

National Provider Directory

Locations

111 N Wabash Ave
#1008
Chicago, IL 60602
Phone (312) 346-5737

111 N Wabash Ave
Ste 1007
Chicago, IL 60602

111 N Wabash Ave
Ste 1008
Chicago, IL 60602
Phone (312) 346-5737

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1568543577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "1008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-346-5737",
            "fax_number": "312-346-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "1008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-346-5737",
            "fax_number": "312-346-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY BERLIN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "312-346-5737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-052948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.