Bereskin, Gayle F

Bereskin, Gayle F is an individual health care provider with primary practice located at 1875 Dempster St Ste 180 , Park Ridge IL 60068-1144. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Bereskin, Gayle F can be contacted via phone (844) 725-5238.

Contact Information

Primary practice address
1875 Dempster St Ste 180 Park Ridge IL 60068-1144
Phone: (844) 725-5238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 036148880 Illinois

Profile Details

NPI number 1972549210
LBN Legal business name Bereskin, Gayle F
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972549210 NPPES
Other 10401404 CAQH
MEDICAID 01336551 CAQH

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