Provider Demographics
NPI:1396722815
Name:BERKI, ZAFEER HUSSAIN KHAN (MD)
Entity type:Individual
Prefix:
First Name:ZAFEER
Middle Name:HUSSAIN KHAN
Last Name:BERKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 CLAYMOOR APT 3D
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-5082
Mailing Address - Country:US
Mailing Address - Phone:847-984-0585
Mailing Address - Fax:847-908-7564
Practice Address - Street 1:360 CLAYMOOR APT 3D
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-5082
Practice Address - Country:US
Practice Address - Phone:847-984-0585
Practice Address - Fax:847-908-7564
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360940902084P0805X, 2084P0800X
AL218752084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG86858Medicare UPIN
VA260002606Medicare ID - Type Unspecified
IL216125Medicare PIN
IL216124Medicare PIN