MEDICARE: NORD RO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1417832627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORD RO LLC

Provider Business Mailing Address
First Line	:	5015 N PAULINA ST STE 345
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2756
Country	:	US
Telephone Number	:	773-886-0960
Fax Number	:	844-454-1493

Provider Business Practice Location Address
First Line	:	5015 N PAULINA ST STE 345
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2756
Country	:	US
Telephone Number	:	773-886-0960
Fax Number	:	844-454-1493

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	SEBASTIAN MICHAEL BERGERON
Credential	:	DC
Telephone Number	:	773-886-0960

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	04/08/2026

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Directions to “NORD RO LLC ” Practice Location

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