Berg, Gina
Berg, Gina is an individual health care provider with primary practice located at 320 Chicago Ridge Mall , Chicago Ridge IL 60415-2602. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Berg, Gina can be contacted via phone (708) 423-0033.Contact Information
Primary practice address
320 Chicago Ridge Mall
Chicago Ridge IL 60415-2602
Phone: (708) 423-0033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046011321 | Illinois |
Profile Details
| NPI number | 1710548151 |
|---|---|
| LBN Legal business name | Berg, Gina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2019 |
| Last updated | Jun 26th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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