Jennifer Berg

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

137 S 17TH St Apt B
St Charles, IL 60174-2547

Phone

(815) 505-3535

NPI assigned

Jan 20, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516406400000",
    "number": "1093223372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S 17TH ST APT B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S 17TH ST APT B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742547",
            "telephone_number": "815-505-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-20",
        "last_updated": "2018-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Beelendorf, DC
• Karen Marie Beeson, LSW
• Hayley Valene Belina, APRN
• Genevieve Belt, L.AC.
• Anna Benesiewicz, ACNP-BC
• Robert Berg
• Sue Bergstrom
• Autumn E Bernicky, DO
• Kimberly Berry
• Andrew Evo Bertagna, DMD, MD

• Early Intervention Provider Agency in St Charles, IL
• Providers in St Charles, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.