Individual
MS. DONNA MARIE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
2S536 ASHLEY DR, GLEN ELLYN, IL 60137-6939
(630) 858-8771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
160002681
IL
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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