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Individual

KIM NATASHA BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
645 N MICHIGAN AVE, CHICAGO, IL 60611-2826
(312) 503-8223
Mailing address
645 N MICHIGAN AVE, CHICAGO, IL 60611-2826
(312) 503-8223

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.126295
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125.054944
IL

Other

Enumeration date
09/08/2008
Last updated
08/07/2013
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