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Contact Information

JEFFREY K . BERGIN, DC, DABCI, SC
2629 SHERIDAN RD
SUITE 1A
ZION, IL60099-2629
 Phone: 847-872-8230
 Fax: 847-872-8208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JEFFREY K BERGIN DC DABCI SC · (Female)

NPI Number 1538224118
Status Active
Credentials
Entity Individual
Enumeration date 12/26/2006
Last updated 12/20/2008 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 038-004780
  • IL Other 743871 MEDICARE PTAN
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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