Individual
KAITLYN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W LAKE AVE, GLENVIEW, IL 60026-1210
(847) 724-2620
Mailing address
3080 W LAKE AVE, GLENVIEW, IL 60026-1210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178009731
IL
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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