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Individual

JULIA ROSE BERGQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 548-7888
Mailing address
39989 N PRAIRIE VIEW DR, WADSWORTH, IL 60083-9609
(847) 909-4345

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.085247
IL

Other

Enumeration date
03/24/2025
Last updated
05/16/2025
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