Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUPERMAN DAVID BERROW, MS, ATC, CES

Active

Specialist · LAKEFOREST, IL

Registration Details

NPI Number: 1902218209
Provider Type: Individual
Gender: Male
NPI Issued: May 21, 2014 (11.939252509759 yrs)
Last Updated: May 21, 2014
License: 096003014 (IL)

Practice Information

Address: 1920 N FOOTBALL DR

HALAS HALL

LAKEFOREST, IL, 60045
Browse IL providers · Browse ZIP 60045
Phone: 8475281234
Primary Specialty: Specialist
174400000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.