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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

NPI Number 1538224118
LBN Legal business name JEFFREY K . BERGIN, DC, DABCI, SC
Authorized official JEFFREY BERGIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/26/2006
Last updated 12/20/2008 - About 17 years ago
Identifiers
IL License # 038-004780
IL Other 743871 MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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