SearchIllinois332B00000X

Joshua Berliant

NPI 1831425750 · on the registry since 2009 · sole proprietor

Practice

Address
2451 W Moffat St
Chicago, IL 60647
Phone
(773) 278-7500
Fax
(773) 342-2229
Organisation at this address
Mnf Supplies
Jms Supplies
Golden Years At Home, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
332B00000X
332B00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois