NPI 1629391776

Mark D. Berger, M.D., S.C.

Organisation Psychoanalyst Chicago, IL

Practice location

Address: 30 N Michigan Ave STE 901, Chicago, IL 60602-3767
Phone: (312) 782-0292
Mailing address: 30 N Michigan Ave Suite 901, Chicago, IL 60602-3767

Authorised official

Name: Mark Dave Berger
Title: President
Phone: (312) 782-0292

Registered specialties (2)

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 042.000349036.033630 (IL)

Other Psychoanalyst providers in Illinois →

Psychoanalyst

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 3636630 (IL)

Registry record

NPI: 1629391776
Entity type: Organization
NPI issued: 3 Mar 2010
Record last updated: 14 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.