Individual
DR. ZACHARY BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 5000, O FALLON, IL 62269-1282
(618) 641-5803
Mailing address
3 SAINT ELIZABETH BLVD STE 5000, O FALLON, IL 62269-1282
(618) 641-5803
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036150902
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2014
Last updated
07/01/2020
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