Kirk Bergmark in Palos Heights - Psychiatric/mental Health, Adult
Kirk Bergmark - NPI 1851346654
Kirk Bergmark is a Psychiatric/mental Health, Adult in Palos Heights, Illinois. Kirk Bergmark practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Kirk Bergmark is 1851346654. The last update date is 2022-01-25.
Kirk Bergmark's current location address is 12251 S 80th Ave Ste 202, Palos Heights, Illinois. You can contact this provider via phone number 7089237878 and fax number 7089237888. The mailing address for Kirk Bergmark is 12251 S 80th Ave Ste 202, Palos Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kirk Bergmark |
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Address | 12251 S 80th Ave Ste 202, Palos Heights, Illinois |
Phone Number | 7089237878 |
Fax Number | 7089237888 |
Sole Proprietor | N |
Credentials | A.P.R.N.,C |
NPI Number Detail
NPI Number | 1851346654 |
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Provider Enumeration Date | 2006-05-23 |
Last Updated Date | 2022-01-25 |
Provider Mailing Address Detail
Address | 12251 S 80th Ave Ste 202 |
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City | Palos Heights |
State | Illinois (IL) |
Post Code | 604631290 |
Phone Number | 7089237878 |
Fax Number | 7089237888 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatric/mental Health, Adult |
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Taxonomy | 364Sp0809X |
Licence No | 277000284 |
Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
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What is the unique 10-digit identifier code issued to Kirk Bergmark by the Centers for Medicare & Medicaid Services?
The Kirk Bergmark has been assigned the NPI (National Provider Identifier) 1851346654 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kirk Bergmark?
The Kirk Bergmark is situated at 12251 S 80Th Ave Ste 202, in the city of Palos Heights, state of IL, with the zip code 604631290.
What is Kirk Bergmark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kirk Bergmark is Psychiatric/mental Health, Adult, and the taxonomy classification code that categorizes this area of expertise is 364Sp0809X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851346654 to Kirk Bergmark?
The Centers for Medicare & Medicaid Services originally issued the 1851346654 to Kirk Bergmark on 2006-05-23.
As of what date was the information regarding Kirk Bergmark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kirk Bergmark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-25.