Provider Demographics
NPI:1487733812
Name:BERKEY, BRIAN DENNIS (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DENNIS
Last Name:BERKEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 HILLCREST AVE STE A
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-1393
Mailing Address - Country:US
Mailing Address - Phone:630-553-2111
Mailing Address - Fax:630-553-0022
Practice Address - Street 1:207 HILLCREST AVE STE A
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-1393
Practice Address - Country:US
Practice Address - Phone:630-553-2111
Practice Address - Fax:630-553-0022
Is Sole Proprietor?:No
Enumeration Date:2006-11-05
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009770111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL207737Medicare PIN