Bergstrom, Jennifer C

Bergstrom, Jennifer C is an individual health care provider with primary practice located at 5133 N Damen Ave , Chicago IL 60625-1316. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bergstrom, Jennifer C can be contacted via phone (773) 405-7199.

Contact Information

Primary practice address
5133 N Damen Ave Chicago IL 60625-1316
Phone: (773) 405-7199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146009056 Illinois

Profile Details

NPI number 1558625426
LBN Legal business name Bergstrom, Jennifer C
Credentials M.A.,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Jun 26th, 2012 - about 14 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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