Bergles, Jaci
Bergles, Jaci is an individual health care provider with primary practice located at 4201 Lake Cook Rd Ste 2004201 , Northbrook IL 60062-1060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Bergles, Jaci can be contacted via phone (847) 565-8999.Contact Information
Primary practice address
4201 Lake Cook Rd Ste 2004201
Northbrook IL 60062-1060
Phone: (847) 565-8999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 2084P0804X | Illinois |
Profile Details
| NPI number | 1497590087 |
|---|---|
| LBN Legal business name | Bergles, Jaci |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2024 |
| Last updated | Jun 26th, 2024 - about 3 months 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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