Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL A BERGOM, MD
ActiveGeneral Surgery · SHILOH, IL
Registration Details
- NPI Number
- 1801814108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (19.761877895091 yrs)
- Last Updated
- Mar 20, 2024
- Licenses
-
45795 (WI)036153202 (IL)
Practice Information
- Address
-
1414 CROSS STREETSUITE 330SHILOH, IL, 622692998Browse IL providers · Browse ZIP 62269
- Phone
- 6182777400
- Fax
- 6182777422
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in SHILOH, IL
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN T BARNETT | MD | 1932166030 |
| DONALD SCOTT CROUCH | M.D. | 1619925880 |
| DR. JAMES C CLANAHAN | MD | 1770531956 |
| DOUGLAS B AACH | MD | 1508817040 |
| DR. PAUL E LOETHEN | MD | 1053595538 |
| DR. THOMAS VINH LUONG | MD | 1376713826 |
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.