NPI 1215258801

Jenna Bergman

Practitioner Contractor Naperville, IL

Practice location

Address: 800 W 5th Ave STE. 106 F/G, Naperville, IL 60563-8965
Phone: (630) 639-1655

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1215258801
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2010
Record last updated: 17 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.