Jeffrey Keith Bergin in Zion - Internist
Jeffrey Keith Bergin - NPI 1265495675
Jeffrey Keith Bergin is a Internist in Zion, Illinois. Jeffrey Keith Bergin practices all healthcare services and medical treatments related to Internist. The NPI Number for Jeffrey Keith Bergin is 1265495675. The last update date is 2008-12-20.
Jeffrey Keith Bergin's current location address is 2629 Sheridan Rd, Zion, Illinois. You can contact this provider via phone number 8478728230 and fax number 8478728208. The mailing address for Jeffrey Keith Bergin is 2629 Sheridan Rd, Zion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Keith Bergin |
|---|---|
| Address | 2629 Sheridan Rd, Zion, Illinois |
| Phone Number | 8478728230 |
| Fax Number | 8478728208 |
| Sole Proprietor | N |
| Credentials | DC, DABCI |
NPI Number Detail
| NPI Number | 1265495675 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2008-12-20 |
Provider Mailing Address Detail
| Address | 2629 Sheridan Rd |
|---|---|
| City | Zion |
| State | Illinois (IL) |
| Post Code | 600992629 |
| Phone Number | 8478728230 |
| Fax Number | 8478728208 |
Provider's Primary Taxonomy Detail
| Speciality | Internist |
|---|---|
| Taxonomy | 111Ni0900X |
| Licence No | 038-004780 |
|
Definition: The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 743871001 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the Jeffrey Keith Bergin's unique identification number?
The Jeffrey Keith Bergin has been assigned the NPI (National Provider Identifier) Number 1265495675 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jeffrey Keith Bergin located?
The Jeffrey Keith Bergin is located at 2629 Sheridan Rd, Zion, IL 600992629.
What is Jeffrey Keith Bergin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeffrey Keith Bergin is Internist, and the taxonomy code that categorizes this field of expertise is 111Ni0900X.
On what date was the 1265495675 assigned to Jeffrey Keith Bergin?
The Jeffrey Keith Bergin was issued its 1265495675 on 2006-04-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jeffrey Keith Bergin most recently updated or revised?
The information pertaining to Jeffrey Keith Bergin, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-20.
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