Berggren, Kelle

Berggren, Kelle is an individual health care provider with primary practice located at 199 Town Square Ste A, Wheaton IL 60187. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Berggren, Kelle can be contacted via phone (630) 871-6690.

Contact Information

Primary practice address
199 Town Square Ste A Wheaton IL 60187
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036108970 Illinois

Profile Details

NPI number 1730167198
LBN Legal business name Berggren, Kelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Aug 4th, 2023 - about last year

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 1730167198 NPPES
Illinois Other P00100007 RR MEDICARE
Illinois MEDICAID 036108970 RR MEDICARE

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