Individual
DR. THEODORE F. BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
53 W JACKSON BLVD, SUITE 1453, CHICAGO, IL 60604-3606
(510) 918-2650
Mailing address
1313 N RITCHIE CT APT 908, CHICAGO, IL 60610-2155
(510) 918-2650
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.009362
IL
103T00000X
Psychologist
17341
CA
Other
Enumeration date
01/01/2007
Last updated
12/09/2016
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