Christine Bergerud

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.013511 Issued in IL

Practice address

3140 Finley Rd Ste 400D
Downers Grove, IL 60515-1376

Phone

(331) 775-2813

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1538790076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 FINLEY RD STE 400D",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 FINLEY RD STE 400D",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151376",
            "telephone_number": "331-775-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERUD",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "3140 Finley Rd Ste 400D",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anjali Benischek, FNP-BC
• Jennifer Benish, PSY.D.
• Annette Bennett, LCPC
• Kellie L Bennett, PHARMD
• Nevadagabrielle Bennett, LPC
• Inez Sandra Berman, MA CCC-SLP
• Mary Justine Bernardo
• Tammy F Bernath, RDH
• Betsy L Berney, RDH
• Gloria Bertram, PHARMD

• Occupational Therapist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.