Berg, James Ralph

Berg, James Ralph is an sole proprietor health care provider with primary practice located at 618 S Il Route 31 Suite 2, Mchenry IL 60050-8273. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Berg, James Ralph can be contacted via phone (815) 344-1400.

Contact Information

Primary practice address
618 S Il Route 31 Suite 2 Mchenry IL 60050-8273
Phone: (815) 344-1400
Fax: (815) 344-2173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1679798326
LBN Legal business name Berg, James Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679798326 NPPES
Illinois Other 4900945 BLUE CROSS BLUE SHIELD

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