Berliner, Kenneth B

Berliner, Kenneth B is an individual health care provider with primary practice located at 3860 W Ogden Ave , Chicago IL 60623-2460. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Berliner, Kenneth B can be contacted via phone (872) 588-3000.

Contact Information

Primary practice address
3860 W Ogden Ave Chicago IL 60623-2460
Phone: (872) 588-3000
Fax: (872) 588-3021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-005060 Illinois

Profile Details

NPI number 1245268911
LBN Legal business name Berliner, Kenneth B
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jan 30th, 2012 - about 14 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 1245268911 NPPES
Illinois Other 041254432 RN

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