Active NPI
Harvey Berlin MD SC
- Specialist
- Chicago, IL
National Provider Identifier
1568543577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036-052948
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.