Ivonne Margot Berg

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.008473 Issued in IL

Practice address

1000 Sunset Ridge Rd
Northbrook, IL 60062-4008

Phone

(224) 326-2600

NPI assigned

Oct 30, 2024

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

State licenses

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1649092602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 N KENNICOTT DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600042920",
            "telephone_number": "847-915-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SUNSET RIDGE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624008",
            "telephone_number": "224-326-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "IVONNE",
        "middle_name": "MARGOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.008473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bentley, RBT-19-2225-151625
• Kimberly J. Berenberg, M.A., LCPC
• Molly Berendt
• Amanda R Berenguel Smolka, LSW
• Larissa Berestenko, MD
• Ceil Berger, LCSW
• Erica Berger, OTRL
• Rebecca Berger, LCSW
• Jaci Bergles
• Jody Ann Berkelhamer, MSW

• Physical Therapy Assistant in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.