Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAWN ELIZABETH BERGERON, FMCHC AND IHP2
Active Sole ProprietorDAWN ELIZABETH BERGERON, FMCHC AND IHP2 is a 374K00000X healthcare provider located in BLOOMINGTON, Illinois. NPI 1851091417 is currently active in the NPPES registry. Verify at CMS.
374K00000X · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1851091417
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2023 (3.417423398067 yrs)
- Last Updated
- Mar 3, 2023
- License
-
171400000X (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2901 LONE OAK RDBLOOMINGTON, IL, 617057802Browse IL providers · Browse ZIP 61705
- Phone
- 3098460899
- Primary Specialty
-
374K00000X
374K00000X
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.