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Dawn Elizabeth Bergeron, FMCHCANDIHP2
Religious Nonmedical Practitioner in Bloomington, Illinois
NPI 1851091417

Dawn Elizabeth Bergeron is a Religious Nonmedical Practitioner based in Bloomington, IL. Dawn Elizabeth Bergeron practices in Bloomington, IL and has the professional credentials of FMCHCANDIHP2. The NPI Number for Dawn Elizabeth Bergeron is 1851091417 and holds a License No. 171400000X (Illinois).

The current practice location address for Dawn Elizabeth Bergeron is 2901 Lone Oak Rd, Bloomington, IL and can be reached out via phone at 309-846-0899.

Location: 2901 Lone Oak Rd, Bloomington, IL, 61705-7802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851091417
Provider Name
Dawn Elizabeth Bergeron
Credential
FMCHCANDIHP2
Provider Entity Type
Individual
Gender
Female
Address
2901 Lone Oak Rd, Bloomington, IL, 61705-7802
Phone Number
309-846-0899
Fax Number
Provider Enumeration Date
03/03/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171400000X 01 GENERAL
institution
Provider Business Practice Location Address Details
Address
2901 Lone Oak Rd
City
Bloomington
State
Illinois
Zip
61705-7802
Phone Number
309-846-0899
Fax Number
person
Provider Business Mailing Address Details
Address
2901 Lone Oak Rd
City
Bloomington
State
Illinois
Zip
61705-7802
Phone Number
309-846-0899
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Religious Nonmedical Practitioner
Speciality
-
Taxonomy
374K00000X
License No.
171400000X (Illinois)
Definition
A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
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