Individual
DR. LISA HINCKLEY BERGHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
939 W NORTH AVE STE 875, CHICAGO, IL 60642-7146
(773) 888-4422
Mailing address
939 W NORTH AVE STE 875, CHICAGO, IL 60642-7146
(773) 888-4422
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
05085
MD
103TC0700X
Clinical Psychologist
Primary
071009411
IL
Other
Enumeration date
05/03/2013
Last updated
12/20/2019
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