Individual
MRS. MALLORY MARIE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8100 W 119TH ST, PALOS PARK, IL 60464-3041
(708) 361-3300
Mailing address
10129 BUELL CT, OAK LAWN, IL 60453-3802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209.016365
IL
Other
Enumeration date
09/11/2017
Last updated
03/17/2018
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