SearchIllinoisEarly Intervention Provider Agency

Jennifer Berg

NPI 1093223372 · on the registry since 2018 · sole proprietor

Practice

Address
137 S 17th St Apt B
St Charles, IL 60174
Phone
(815) 505-3535

Registry record

Primary taxonomy
Early Intervention Provider Agency
252Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois