Berg, Mallory Marie

Berg, Mallory Marie is an sole proprietor health care provider with primary practice located at 8100 W 119Th St , Palos Park IL 60464-3041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Berg, Mallory Marie can be contacted via phone (708) 361-3300.

Contact Information

Primary practice address
8100 W 119Th St Palos Park IL 60464-3041
Phone: (708) 361-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 209.016365 Illinois

Profile Details

NPI number 1720507767
LBN Legal business name Berg, Mallory Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2017
Last updated Mar 17th, 2018 - about 8 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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