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Contact Information

PHILIP J BERENT, MD
2604 DEMPSTER ST
SUITE 306
PARK RIDGE, IL60068-8412
 Phone: 847-687-5903
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for PHILIP J BERENT · (Male)

NPI # 1396803128
Status Active
Credentials MD
Entity Individual
Enumeration date 12/05/2006
Last updated 05/08/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036041149
  • IL Medicaid 036-041149
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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