Donna C Bergen in Chicago - Clinical Neurophysiology
Donna C Bergen - NPI 1548256357
Donna C Bergen is a Clinical Neurophysiology in Chicago, Illinois. Donna C Bergen practices all healthcare services and medical treatments related to Clinical Neurophysiology. 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 |
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Address | 1725 W Harrison St, Chicago, Illinois |
Phone Number | 3129425936 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1548256357 |
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Provider Enumeration Date | 2005-09-27 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 1725 W Harrison St |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606123841 |
Phone Number | 3129425936 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neurophysiology |
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Taxonomy | 2084N0600X |
Licence No | 36045728 |
Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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 Clinical Neurophysiology, and it falls under the taxonomy code 2084N0600X, 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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