SUPERMAN DAVID BERROW (NPI# 1902218209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902218209 |
| Entity Type | Individual |
| Full Name | SUPERMAN DAVID BERROW |
| Credential | MS, ATC, CES |
| Practice Address |
1920 N Football Dr Halas Hall Lakeforest IL 60045 |
| Mailing Address |
2712 W North Ave Apt 2f Chicago IL 60647-5237 |
| Practice Telephone | 8475281234 |
| Mailing Telephone | 8594897645 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 096003014 | IL | Other Service Providers |
| Street Address |
1920 N FOOTBALL DR HALAS HALL |
| City | LAKEFOREST |
| State | IL |
| Zip Code | 60045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850730 | Nirvana Medspa and Laser Center, Ltd | Specialist | 11801 Southwest Hwy Ste 2n, Palos Heights, IL 60463-1069 | 2020-10-27 |
| 1801402938 | Terri Sendelbach | Specialist | 340 W Butterfield Rd Ste 4b-418, Elmhurst, IL 60126-5069 | 2020-09-23 |
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1891356176 | Kristin Michelle Stahlheber | Specialist | 6718 Goshen Rd, Edwardsville, IL 62025-3025 | 2019-06-26 |
| 1689238438 | Sara Sladoje | Specialist | 936 Raleigh Rd, Glenview, IL 60025-4330 | 2019-04-26 |
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1962979286 | Time 2 Talk, LLC | Specialist | 6791 Wesley Chapel Rd, Chatham, IL 62629-9722 | 2018-10-24 |
| 1871068783 | Kelsey Lynn Mora | Specialist | 5225 Old Orchard Rd Ste 14, Skokie, IL 60077-1027 | 2018-10-06 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
| City | LAKEFOREST |
| Zip Code | 60045 |
Please comment or provide details below to improve the information on SUPERMAN DAVID BERROW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.