Provider Demographics
NPI:1396860854
Name:BERMAN, RICHARD N (RPH)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:N
Last Name:BERMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 WINCHESTER LN
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3300
Mailing Address - Country:US
Mailing Address - Phone:847-564-2114
Mailing Address - Fax:847-563-2199
Practice Address - Street 1:770 S BUFFALO GROVE RD
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-3708
Practice Address - Country:US
Practice Address - Phone:847-459-7704
Practice Address - Fax:847-459-8146
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist