# JEFFREY K . BERGIN, DC, DABCI, SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jeffrey K. Bergin, DC, DABCI, FAACP, SC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538224118
- **Authorized official:** DR. JEFFREY KEITH BERGIN D.C. (PRESIDENT)
- **Authorized official phone:** (847) 872-8230

## Contact information

- **Practice address:** 2629 SHERIDAN RD, SUITE 1A, ZION, IL 60099-2629
- **Practice address phone:** (847) 872-8230
- **Practice address fax:** (847) 872-8208
- **Mailing address:** 2629 SHERIDAN RD, SUITE 1A, ZION, IL 60099-2629
- **Mailing address phone:** (847) 872-8230
- **Mailing address fax:** (847) 872-8208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NI0900X | Internist Chiropractor | 038-004780 | IL | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 12/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 743871 | MEDICARE PTAN | IL |