Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Premier Vascular, LLC

Interventional Cardiology Physician in Merrionette Park, IL · enumerated 2016 · authorized official Mark Berlin, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366890782

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Registry record

Entity type Organization (Type 2)

Legal business name Premier Vascular, LLC

Practice address 11560 S Kedzie Ave, Merrionette Park, IL, 60803

Phone (708) 478-3600

Fax (708) 478-3553

Enumeration date May 26, 2016

Last updated in NPPES Oct 25, 2016

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary

207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians Secondary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mark Berlin

Title Coo

Phone (708) 478-3600

Other identifiers

Identifier	Type	State	Issuer
F100329328	Other	IL	MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Premier Vascular, LLC located?

The practice location on file with NPPES is in Merrionette Park, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-10-25. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-25.