DR. ALLEN C. BERNTHAL (NPI# 1710967989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710967989 |
| Entity Type | Individual |
| Full Name | DR. ALLEN C. BERNTHAL |
| Credential | M.D. |
| Practice Address |
6827 Stanley Ave Berwyn IL 60402-3287 |
| Practice Telephone | 7087494617 |
| Practice Fax Number | 7087490094 |
| Mailing Telephone | 7087494617 |
| Mailing Fax Number | 7087490094 |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 036054138 | IL | Other Service Providers |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036054138 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036054138 | 05 |
| Street Address |
6827 STANLEY AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548637226 | Joanne Wheaton | Nurse Practitioner | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2015-08-28 |
| 1689929879 | Laurel Ann Dettore | Nurse Practitioner | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2012-07-13 |
| 1114293123 | Andrew Kowalski | Internal Medicine | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2012-03-25 |
| 1588972343 | Juan Pablo Ruiz | Internal Medicine | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2010-09-15 |
| 1366763534 | Allen C Bernthal M D Ltd | Specialist | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2010-06-22 |
| 1265637623 | Matthew Robert Andersen | Internal Medicine | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2007-06-18 |
| 1750436051 | Gi and Liver Specialists, Ltd | Specialist | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2007-01-24 |
| 1548315849 | Midwest Nephrology Associates, LLC | Specialist | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2007-01-24 |
| 1902959745 | Rajiv J Gandhi | Internal Medicine | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2007-01-18 |
| 1346220514 | Laurens A. Lohmann | Internal Medicine | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2006-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255405452 | Manuel E. Alva | Internal Medicine | 6832 Ogden Ave, Berwyn, IL 60402-3643 | 2006-11-20 |
| 1508862368 | Allen Jerome Rosenbaum | Internal Medicine | 3340 Oak Park Ave, Ste 304, Berwyn, IL 60402-3483 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
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| 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.