Superman David Berrow, MS, ATC, CES

Specialist · Lakeforest, IL

Individual Active NPI

NPI number 1902218209

Practice location

1920 N Football Dr
Halas Hall
Lakeforest, IL 60045
Phone
(847) 528-1234

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NPI record

NPI
1902218209
Entity type
Individual (Type 1)
Enumeration date
May 21, 2014
Last updated
May 21, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 096003014 IL

Mailing address

2712 W North Ave Apt 2f
Chicago, IL 60647-5237
Phone
(859) 489-7645

About Superman Berrow

Superman David Berrow, MS, ATC, CES is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1920 N Football Dr, Halas Hall, Lakeforest, IL 60045. The NPI number 1902218209 was assigned on May 21, 2014 and the record was last updated on May 21, 2014.

Superman Berrow lists a license in the registry: #096003014 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Superman David Berrow, MS, ATC, CES?

The NPI number is 1902218209.

What is the phone number of Superman Berrow?

The phone number listed for the practice location is (847) 528-1234.

Where is Superman Berrow located?

1920 N Football Dr, Halas Hall, Lakeforest, IL 60045.

What is the taxonomy code for Superman Berrow?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.