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NPI Code Detail

MEDICARE: KIMBERLY A. BERGER MS, RDN, LDN, CEDS-C

MEDICARE:   KIMBERLY A. BERGER  MS, RDN, LDN, CEDS-C
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
1133V00000XRegistered Dietitian164000797IL
2133V00000XRegistered Dietitian164-000797IL

General Provider Information

NPI Number : 1700846714
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A. BERGER MS, RDN, LDN, CEDS-C
Provider Business Mailing Address
First Line : 1555 NAPERVILLE WHEATON ROAD
Second Line : SUITE 201
City : NAPERVILLE
State : IL
Zip : 60563-1558
Country : US
Telephone Number : 630-923-5462
Fax Number :
Provider Business Practice Location Address
First Line : 1555 NAPERVILLE WHEATON ROAD
Second Line : SUITE 201
City : NAPERVILLE
State : IL
Zip : 60563-1558
Country : US
Telephone Number : 630-923-5462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 06/06/2024

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Directions to “ KIMBERLY A. BERGER MS, RDN, LDN, CEDS-C” Practice Location

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