- Practice location
- 125 S Wacker Dr Ste 300, Chicago, IL 60606-4421
- Phone
- 617-505-1520
- Fax
- 617-928-8401
- Last updated
- June 24, 2026
Beth M Marshall-Bergman is an Internal Medicine based in Chicago, IL. Beth M Marshall-Bergman practices in Chicago, IL and has the professional credentials of DO. The NPI Number for Beth M Marshall-Bergman is 1962791657 and holds a License No. 4856 (TN). The current practice location address for Beth M Marshall-Bergman is 125 S Wacker Dr Ste 300, Chicago, IL 60606-4421 and can be reached out via phone at 617-505-1520 and via fax at 617-928-8401.
Provider Profile Details
- NPI Number
- 1962791657
- Provider Name
- Beth M Marshall-Bergman
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 125 S Wacker Dr Ste 300, Chicago, IL 60606-4421
- Phone Number
- 617-505-1520
- Fax Number
- 617-928-8401
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Other Names
- Beth M Marshall (Former Name)
- Provider Enumeration Date
- April 4, 2011
- Last Update Date
- June 24, 2026
- Certification Date
- June 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 125 S Wacker Dr Ste 300
Chicago, IL 60606-4421 - City
- Chicago
- State
- Illinois
- Zip
- 60606-4421
- Phone Number
- 617-505-1520
- Fax Number
- 617-928-8401
Provider Business Mailing Address Details
- Address
- 109 State St Ste 5
Boston, MA 02109-2906 - City
- Boston
- State
- MA
- Zip
- 02109-2906
- Phone Number
- 617-505-1520
- Fax Number
- 617-928-8401
License Information
- License Number (1)
- 4856
- License State (1)
- TN
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 3894
- License State (2)
- WV
- Taxonomy (2)
- Internal Medicine · 207R00000X
- License Number (3)
- C0750
- License State (3)
- KY
- Taxonomy (3)
- Internal Medicine · 207R00000X
- License Number (4)
- 036.135673
- License State (4)
- IL
- Taxonomy (4)
- Internal Medicine · 207R00000X · Primary
- License Number (5)
- 2877
- License State (5)
- AL
- Taxonomy (5)
- Internal Medicine · 207R00000X
- License Number (6)
- EMC0001956
- License State (6)
- MI
- Taxonomy (6)
- Internal Medicine · 207R00000X
- License Number (7)
- 30199
- License State (7)
- MS
- Taxonomy (7)
- Internal Medicine · 207R00000X
- License Number (8)
- 91988
- License State (8)
- GA
- Taxonomy (8)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Beth M Marshall-Bergman, DO?
The NPI number of Beth M Marshall-Bergman, DO is 1962791657. It was assigned on April 4, 2011 and is currently active in the NPPES registry.
What is the specialty of Beth M Marshall-Bergman, DO?
Beth M Marshall-Bergman, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in TN under license number 4856.
Where does Beth M Marshall-Bergman, DO practice?
The practice location is 125 S Wacker Dr Ste 300, Chicago, IL 60606-4421. The office can be reached at 617-505-1520 (phone) or 617-928-8401 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962791657 directly on the NPPES registry website.