Provider Demographics
NPI:1962625038
Name:DR. K. BERK, WHOLISTIC HEALTH CARE
Entity type:Organization
Organization Name:DR. K. BERK, WHOLISTIC HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETER,CEO,FOUNDER,
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-784-9667
Mailing Address - Street 1:552
Mailing Address - Street 2:BOX 552
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025
Mailing Address - Country:US
Mailing Address - Phone:847-784-9667
Mailing Address - Fax:847-784-9669
Practice Address - Street 1:1780 MAPLE ST
Practice Address - Street 2:#100
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3021
Practice Address - Country:US
Practice Address - Phone:847-784-9667
Practice Address - Fax:847-784-9669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty