Search › Illinois › 225100000X
Mimi Bergman, DPT
NPI 1760995690 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1200 N Westmoreland Rd
Lake Forest, IL 60045 - Phone
- (847) 535-8022
- Clinicians at this address
- 28
Additional practice sites
- 22 W 48th St Fl 15, New York, NY
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
261QP2000X - Licence states on file
- NY, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-29
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