| Katherine Schaefer Berg, Ph.d., P.c. | |
|
475 Dunham Rd Suite 1b St Charles IL 60174-1498 | |
| (630) 386-6287 | |
| Not Available |
| Full Name | Katherine Schaefer Berg, Ph.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 475 Dunham Rd, St Charles, Illinois |
| Authorized Official Name and Position | Katherine Schaefer Berg (PRESIDENT) |
| Authorized Official Contact | 6303866287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Schaefer Berg, Ph.d., P.c. 475 Dunham Rd Suite 1b St Charles IL 60174-1498 Ph: (630) 386-6287 | Katherine Schaefer Berg, Ph.d., P.c. 475 Dunham Rd Suite 1b St Charles IL 60174-1498 Ph: (630) 386-6287 |
| NPI Number | 1114385127 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 02/04/2016 |
| Medicare PECOS PAC ID | 3274837125 |
|---|---|
| Medicare Enrollment ID | O20160212001388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114385127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 071007618 (Illinois) | Primary |
| Provider Name | Katherine Berg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932347762 PECOS PAC ID: 4486710902 Enrollment ID: I20090309000524 |
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