Berent, Philip J

Berent, Philip J is an sole proprietor health care provider with primary practice located at 2604 Dempster St Suite 306, Park Ridge IL 60068-8412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Berent, Philip J can be contacted via phone (847) 687-5903.

Contact Information

Primary practice address
2604 Dempster St Suite 306 Park Ridge IL 60068-8412
Phone: (847) 687-5903
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036041149 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036041149 Illinois

Profile Details

NPI number 1396803128
LBN Legal business name Berent, Philip J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated May 8th, 2013 - about 12 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 1396803128 NPPES
Illinois MEDICAID 036-041149

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