Individual
JOSHUA J BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
315 NORTH ELM, CENTRALIA, IL 62801
(618) 532-7600
(618) 532-8667
Mailing address
PO BOX 496, 315 NORTH ELM, CENTRALIA, IL 62801
(618) 532-7600
(618) 532-8667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
426286
HEALTHLINK
—
01
—
6119593
BCBS
—
01
—
CJ0692
PALMETTO
—
Enumeration date
11/14/2006
Last updated
07/08/2007
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