Individual ProviderKevin BermanSurgeryAllopathic & Osteopathic PhysiciansPractice Address515 S Maplewood Ave, 4 North, Chicago, IL 60612-3471(303) 475-4717PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Berman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1134426539Provider TypeIndividualFull NameBerman, KevinCredentialMDGenderMaleSole ProprietorYesEnumeration Date2/21/2011Last Updated2/21/2011Contact InformationPractice LocationPractice Address515 S Maplewood Ave, 4 North, Chicago, IL 60612-3471Phone(303) 475-4717FaxUnlisted FaxMailing LocationMailing Address515 S Maplewood Ave, 4 North, Chicago, IL 60612-3471Phone(303) 475-4717FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense036.126086Illinois