Berg, Carly

Berg, Carly is an individual health care provider with primary practice located at 2750 W North Ave , Chicago IL 60647-5247. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Berg, Carly can be contacted via phone (312) 666-3494.

Contact Information

Primary practice address
2750 W North Ave Chicago IL 60647-5247
Phone: (312) 666-3494
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2014020062 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036143864 Illinois

Profile Details

NPI number 1336554658
LBN Legal business name Berg, Carly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2014
Last updated Aug 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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