Individual
MICHAEL ALLEN BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
805 LIONS DR, TROY, IL 62294-2440
(618) 667-0600
(618) 667-8189
Mailing address
PO BOX 360, TROY, IL 62294-0360
(618) 667-0600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007911
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K04391
PTAN
IL
Enumeration date
07/17/2006
Last updated
02/19/2016
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