Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER BERG
Active Sole ProprietorJENNIFER BERG is a Early Intervention Provider Agency healthcare provider located in ST CHARLES, Illinois. NPI 1093223372 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · ST CHARLES, IL
Registration Details
- NPI Number
- 1093223372
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2018 (8.5729936431794 yrs)
- Last Updated
- Jan 20, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
137 S 17TH ST APT BST CHARLES, IL, 601742547Browse IL providers · Browse ZIP 60174
- Phone
- 8155053535
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.