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Individual

EMILY BERGKOETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2833 N NORDICA AVE, CHICAGO, IL 60634-4726
(773) 622-6144
Mailing address
3111 N CLIFTON AVE APT 2F, CHICAGO, IL 60657-3371
(618) 975-9322

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014091
IL

Other

Enumeration date
02/01/2023
Last updated
02/01/2023
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