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Contact Information

ABHIMANYU BERI, MD
500 N WALL ST
KANKAKEE, IL60901-2942
 Phone: 844-404-4787
 Fax: 815-936-3243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ABHIMANYU BERI · (Male)

NPI Number 1336339381
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2007
Last updated 04/10/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036145544
  • IN License # 01098895A
  • MI License # 4301089914
  • MI Medicaid 1296396
  • MI Medicaid 4718520
Hospital affiliation(s)
  • RIVERSIDE MEDICAL CENTER - (Acute Care)
    350 N WALL ST
    KANKAKEE, IL 60901
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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