Individual
LAURA BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6801 HIGH GROVE BLVD, BURR RIDGE, IL 60527-7585
(630) 920-2900
Mailing address
1907 GREENSBORO DR, WHEATON, IL 60189-8131
(847) 452-9420
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070020207
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070020207
IL DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
11/23/2021
Last updated
11/23/2021
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