Bergman, Mimi Claire

Bergman, Mimi Claire is an sole proprietor health care provider with primary practice located at 1200 N Westmoreland Rd , Lake Forest IL 60045-1601. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bergman, Mimi Claire can be contacted via phone (847) 535-8022.

Contact Information

Primary practice address
1200 N Westmoreland Rd Lake Forest IL 60045-1601
Phone: (847) 535-8022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 042623 New York
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 042623 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.026635 Illinois

Profile Details

NPI number 1760995690
LBN Legal business name Bergman, Mimi Claire
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2017
Last updated Aug 29th, 2022 - about 4 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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