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General NPI Number Information
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NPI Number | 1205880820
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Entity Type | Individual
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Provider Name | CHRISTOPHER J BERGIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 1875 DEMPSTER ST STE 425
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City | PARK RIDGE
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State | IL
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Zip | 60068-1129
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Country | US
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Telephone | 847-698-9330
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Fax | 847-698-9198
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Provider Business Mailing Address
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Address Line | 1875 DEMPSTER ST STE 425
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City | PARK RIDGE
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State | IL
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Zip | 60068-1129
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Country | US
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Telephone | 847-298-7024
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Fax | 847-298-7155
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 036-097991
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License Number State | IL
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