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Individual

SUZANNE BERGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2040 OGDEN AVE, SUITE 107, AURORA, IL 60504-7206
(630) 692-5700
(630) 692-5750
Mailing address
1256 WATERFORD DRIVE, SUITE 230, AURORA, IL 60504
(630) 499-2404
(630) 499-2399

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
036077003
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-077003
IL
Enumeration date
02/02/2007
Last updated
07/10/2017
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