Search › Illinois › 235Z00000X
Sue Bergstrom
NPI 1861873705 · on the registry since 2015 · sole proprietor
Practice
- Address
- 263 Grand Ridge Rd
Saint Charles, IL 60175 - Phone
- (630) 762-9984
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-16
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