Individual
DALTON J BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15641 S 94TH AVE, ORLAND PARK, IL 60462-4722
(708) 460-8588
(708) 460-8788
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-025202
IL
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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