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Contact Information

RENEE BERGSTROM, APN
2111 OGDEN AVE
AURORA, IL60504-7597
 Phone: 630-978-3800
 Fax: 630-862-3085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for RENEE BERGSTROM · (Female)

NPI Number 1225515273
Status Active
Credentials APN
Entity Individual
Enumeration date 07/23/2018
Last updated 04/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041-361808
  • IL License # 209018208
Hospital affiliation(s)
  • COPLEY MEMORIAL HOSPITAL - (Acute Care)
    2000 OGDEN AVENUE
    AURORA, IL 60504
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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