Berk, Mark Allan

Berk, Mark Allan is an sole proprietor health care provider with primary practice located at 900 N Westmoreland Rd Suite 222, Lake Forest IL 60045-1674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Berk, Mark Allan can be contacted via phone (847) 234-6121.

Contact Information

Primary practice address
900 N Westmoreland Rd Suite 222 Lake Forest IL 60045-1674
Phone: (847) 234-6121
Fax: (847) 482-0363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036068947 Illinois

Profile Details

NPI number 1235196858
LBN Legal business name Berk, Mark Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Jan 26th, 2010 - 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 1235196858 NPPES
Illinois MEDICAID 036068947

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