Individual
JENNIFER C BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
5133 N DAMEN AVE, CHICAGO, IL 60625-1316
(773) 405-7199
Mailing address
5133 N DAMEN AVE, CHICAGO, IL 60625-1316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009056
IL
235Z00000X
Speech-Language Pathologist
31485
CA
235Z00000X
Speech-Language Pathologist
LICC-3456
MN
Other
Enumeration date
06/26/2012
Last updated
07/28/2026
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