Bergeron, Laura

Bergeron, Laura is an individual health care provider with primary practice located at 6801 High Grove Blvd , Burr Ridge IL 60527-7585. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Bergeron, Laura can be contacted via phone (630) 920-2900.

Contact Information

Primary practice address
6801 High Grove Blvd Burr Ridge IL 60527-7585
Phone: (630) 920-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 070020207 Illinois

Profile Details

NPI number 1235896473
LBN Legal business name Bergeron, Laura
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2021
Last updated Nov 23rd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235896473 NPPES
Illinois Other 070020207 IL DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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