Individual
ROBERT BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2475 DEAN ST, ST CHARLES, IL 60175-4831
(630) 584-9800
Mailing address
2475 DEAN ST, ST CHARLES, IL 60175-4831
(630) 584-9800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036086945
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086945
—
IL
Enumeration date
07/31/2006
Last updated
05/27/2022
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