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Dr. Jordan L Berg, MD
Obstetrics & Gynecology Physician in Rockford, Illinois
NPI 1215462940

Jordan L Berg is a Obstetrics & Gynecology Physician based in Janesville, IL. Jordan L Berg practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Jordan L Berg is 1215462940 and holds a License No. (Illinois).

The current practice location address for Jordan L Berg is 209 9Th St Ste 200, Rockford, IL and can be reached out via phone at 779-696-2750 and via fax at 779-696-4196.

Location: 209 9Th St Ste 200, Rockford, IL, 53546-2343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215462940
Provider Name
Jordan L Berg
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
209 9Th St Ste 200, Rockford, IL, 53546-2343
Phone Number
779-696-2750
Fax Number
779-696-4196
Provider Enumeration Date
05/01/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215462940 05 WI
institution
Provider Business Practice Location Address Details
Address
209 9Th St Ste 200
City
Rockford
State
Illinois
Zip
61104-2235
Phone Number
779-696-2750
Fax Number
779-696-4196
person
Provider Business Mailing Address Details
Address
209 9Th St Ste 200
City
Rockford
State
Illinois
Zip
61104-2235
Phone Number
779-696-2750
Fax Number
779-696-4196
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
75817 (Wisconsin)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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