Individual
DR. JORDAN L BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3505 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-0300
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8927
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-167411
IL
207V00000X
Obstetrics & Gynecology Physician
75817
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215462940
—
WI
Enumeration date
05/01/2017
Last updated
02/12/2026
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