Individual
ANNELISE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(888) 352-7874
Mailing address
3528 W SHAKESPEARE AVE APT 1, CHICAGO, IL 60647-7546
(636) 368-6760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209033626
IL
Other
Enumeration date
07/05/2023
Last updated
12/24/2025
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