Bergeson, Brenda
Bergeson, Brenda is an individual health care provider with primary practice located at 1124 W Stearns Rd , Bartlett IL 60103-4546. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bergeson, Brenda can be contacted via phone (630) 213-7788.Contact Information
Primary practice address
1124 W Stearns Rd
Bartlett IL 60103-4546
Phone: (630) 213-7788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-106226 | Illinois |
Profile Details
| NPI number | 1144258542 |
|---|---|
| LBN Legal business name | Bergeson, Brenda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Aug 4th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144258542 | NPPES |
| Other | 399980 | MEDICARE GROUP PTAN |
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