Donna C Bergen is a Neurology in Chicago, Illinois. Donna C Bergen practices all healthcare services and medical treatments related to Neurology. The NPI Number for Donna C Bergen is 1548256357. The last update date is 2023-03-07.
Donna C Bergen's current location address is 1725 W Harrison St, Chicago, Illinois. You can contact this provider via phone number 3129425936. The mailing address for Donna C Bergen is 1725 W Harrison St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna C Bergen |
|---|---|
| Address | 1725 W Harrison St, Chicago, Illinois |
| Phone Number | 3129425936 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1548256357 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1725 W Harrison St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606123841 |
| Phone Number | 3129425936 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 36045728 |
|
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 336012506 | IL | CONTROLLED | |
| 36045728 | IL | -- |
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What is the unique 10-digit identification code issued to Donna C Bergen by the Centers for Medicare & Medicaid Services?
The Donna C Bergen has been assigned the NPI (National Provider Identifier) 1548256357 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Donna C Bergen's facilities are geographically located?
The facilities of Donna C Bergen are physically situated at the following location: 1725 W Harrison St, Chicago, IL, 606123841.
What is the Donna C Bergen's area of specialization and corresponding taxonomy classification?
The Donna C Bergen's specialty field is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their specialties.
On what date did the Donna C Bergen receive the assignment of its 1548256357 from the Centers for Medicare & Medicaid Services?
The Donna C Bergen was issued its 1548256357 by the Centers for Medicare & Medicaid Services on 2005-09-27.
As of what date was the information regarding Donna C Bergen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Donna C Bergen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.
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