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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIMI CLAIRE BERGMAN, DPT

Active Sole Proprietor

MIMI CLAIRE BERGMAN, DPT is a Physical Therapy Assistant healthcare provider located in LAKE FOREST, Illinois. NPI 1760995690 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE FOREST, IL

Registration Details

NPI Number
1760995690
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2017 (8.7486803394137 yrs)
Last Updated
Aug 29, 2022
Licenses
042623 (NY)
042623 (NY)
070.026635 (IL)
Sole Proprietor
Yes

Practice Information

Address
1200 N WESTMORELAND RD
LAKE FOREST, IL, 600451601
Browse IL providers · Browse ZIP 60045
Phone
8475358022
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Clinic
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LAKE FOREST, IL

Name Credential NPI
KATHRYN SANDBERG PT 1801824834
LAURA BETH DESORT PT 1871650036
TINAMARIE J ASHBECK 1215086319
MR. STEVEN DANIEL SMITH P.T. 1477684090
IVETTE R SCHMIEGE DPT 1396865473
MRS. KAREN CRISTINE BORN P.T. 1487857199
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.