Superman David Berrow, MS, ATC, CES

Primary specialty

SpecialistTaxonomy code 174400000X

License

096003014 Issued in IL

Practice address

1920 N Football Dr
Halas Hall
Lakeforest, IL 60045

Phone

(847) 528-1234

NPI assigned

May 21, 2014

Last updated

May 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Master of Science

State licenses

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1902218209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 W NORTH AVE APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475237",
            "telephone_number": "859-489-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N FOOTBALL DR",
            "address_2": "HALAS HALL",
            "city": "LAKEFOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "847-528-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERROW",
        "first_name": "SUPERMAN",
        "middle_name": "DAVID",
        "credential": "MS, ATC, CES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "096003014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Ellen Berger
• Mimi Claire Bergman, DPT
• Mark Allan Berk, M.D.
• Samantha Berkson
• Harold G. Berner, MD
• Stephanie Berry
• Andrea Erickson Best, DO
• Kunjan Satishkumar Bhakta, M.D.
• Aneri Dalia Bhansali, DPT
• Munisha Mehra Bhatia, MD

• Specialist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.