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Individual

AMANDA M BERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
350 N WALL ST, DEPT OF ANESTHESIA, KANKAKEE, IL 60901-2901
(815) 933-1671
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.368295
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.011212
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
93260
AANA
IL
Enumeration date
01/28/2014
Last updated
02/10/2026
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