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Contact Information

JACI BERGLES
4201 LAKE COOK RD STE 2004201
NORTHBROOK, IL60062-1060
 Phone: 847-565-8999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JACI BERGLES · (Female)

NPI # 1497590087
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2024
Last updated 06/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 2084P0804X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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