Norma C. Berman, D. C.

Individual provider Active NPI Chiropractor · Glen Ellyn, IL

NPI 1093943409 · NPPES record last updated Feb 21, 2011

Key facts

NPI
1093943409
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
038006938 (IL)
Practice address
800 Roosevelt Rd
BLDG. E, Ste. 220
Glen Ellyn, IL 60137-5839
Phone
(630) 469-1527
Fax
(630) 469-1841
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
038006938ILMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038006938 IL Yes

Addresses

Primary practice location

800 Roosevelt Rd
BLDG. E, Ste. 220
Glen Ellyn, IL 60137-5839

Mailing address

800 Roosevelt Rd
BLDG. E, Ste. 220
Glen Ellyn, IL 60137-5839
Phone (630) 469-1527

Other names

  • Miss Norma C. Moquin Former name

Other providers in Glen Ellyn, IL

All providers in Glen Ellyn, IL · Chiropractor in Illinois

Sources for this page

Verify at the official NPI Registry.