MEDICARE: DR. JOHN N BERGMANN DPM

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	213E00000X	Podiatrist		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0001699003	OTHER	IL	BLUECROSSBLUESHIELD

General Provider Information

NPI Number	:	1205059110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN N BERGMANN DPM

Provider Business Mailing Address
First Line	:	1860 JOHNS DR
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-1657
Country	:	US
Telephone Number	:	847-729-7923
Fax Number	:	847-729-7944

Provider Business Practice Location Address
First Line	:	1860 JOHNS DR
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-1657
Country	:	US
Telephone Number	:	847-729-7923
Fax Number	:	847-729-7944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	01/18/2026

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Directions to “ DR. JOHN N BERGMANN DPM” Practice Location

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