Organization
MARK D. BERGER, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVE BERGER M.D. (PRESIDENT)
(312) 782-0292
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE STE 901, CHICAGO, IL 60602-3767
(312) 782-0292
Mailing address
30 N MICHIGAN AVE, SUITE 901, CHICAGO, IL 60602-3767
(312) 782-0292
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
042.000349036.033630
IL
102L00000X
Psychoanalyst
3636630
IL
Other
Enumeration date
03/03/2010
Last updated
04/14/2010
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