| Valentin Berman Md Pc | |
|
9730 S Western Ave Suit 729 Evergreen Park IL 60805 | |
| (708) 499-3525 | |
| (708) 499-3515 |
| Full Name | Valentin Berman Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9730 S Western Ave, Evergreen Park, Illinois |
| Authorized Official Name and Position | Valentin Berman (DIRECTOR) |
| Authorized Official Contact | 7084993525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentin Berman Md Pc 9933 S Western Ave Ste 203 Chicago IL 60643-1810 Ph: (708) 499-3525 | Valentin Berman Md Pc 9730 S Western Ave Suit 729 Evergreen Park IL 60805 Ph: (708) 499-3525 |
| NPI Number | 1821122029 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 07/10/2018 |
| Medicare PECOS PAC ID | 6406866896 |
|---|---|
| Medicare Enrollment ID | O20060501000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821122029 | NPI | - | NPPES |
| 036081190 | Medicaid | IL | |
| 31604167 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 036081190 (Illinois) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036081190 (Illinois) | Primary |
| Provider Name | Bruce P Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356416689 PECOS PAC ID: 7416905252 Enrollment ID: I20050107000498 |
| Provider Name | Valentin Berman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750428967 PECOS PAC ID: 8022028422 Enrollment ID: I20081213000152 |
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