Individual
MELANIE MARIE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Mailing address
3681 THORNHILL DR, ELGIN, IL 60124-8086
(847) 558-9540
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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