Individual provider · Type 1 NPI
Superman David Berrow, MS, ATC, CES
Specialist · Lakeforest, IL
NPI number
1902218209
Active
Practice location
1920 N Football Dr, Halas Hall
Lakeforest, IL 60045
Mailing address
2712 W North Ave Apt 2F
Chicago, IL 60647-5237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 096003014 (IL) |
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.
About NPI 1902218209
Superman David Berrow, MS, ATC, CES's National Provider Identifier is 1902218209, issued on May 21, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lakeforest, IL. The record was last updated on May 21, 2014.