STEPHANIE ANN BERG (NPI# 1598064750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598064750 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANN BERG |
| Credential | D.O. |
| Practice Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Practice Telephone | 7083272253 |
| Practice Fax Number | 7083273319 |
| Mailing Telephone | 7083272253 |
| Mailing Fax Number | 7083273319 |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036133979 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134403801 | Stephanie Anne Berg | Dentist | 8 Los Gatos Blvd, Los Gatos, CA 95030-6120 | 2011-09-29 |
| 1629047659 | Stephanie M Berg | Internal Medicine | 4280 Main St, Ste 200, Frisco, TX 75033-3075 | 2006-03-14 |
| 1104432681 | Stephanie Rose Berg | Behavior Technician | 124 E Miracle Strip Pkwy Ste 503, Mary Esther, FL 32569-1991 | 2020-09-19 |
| 1447892385 | Stephanie Fallon Berg | Naturopath | 4835 Van Nuys Blvd Ste 200, Sherman Oaks, CA 91403-2139 | 2019-10-11 |
| 1295266690 | Stephanie Berg | Licensed Practical Nurse | 154 Cornerstone Blvd, Suite B, Hot Springs, AR 71913-6560 | 2017-03-27 |
| 1831550821 | Stephanie Berg | Peer Specialist | 1599 State St, Salem, OR 97301-4255 | 2016-03-17 |
| 1962870360 | Stephanie R Berg | Counselor | 20 E Court St, Janesville, WI 53545-3919 | 2015-09-02 |
| 1467843680 | Stephanie Berg | Counselor | 437 Railroad St, Bridgeville, PA 15017-2329 | 2015-02-10 |
| 1255686440 | Stephanie Claire Berg | Dentist | 223 N Lime St, Lancaster, PA 17602-2748 | 2012-07-13 |
| 1043367758 | Stephanie S Berg | Social Worker | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2007-01-04 |
| Street Address |
2160 S 1ST AVE |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525489 | Michael Jm Raffin | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2005-06-01 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1124634712 | Abhilasha Nitin Borkar | Pathology | 2160 S 1st Ave, Maywood, IL 60153 | 2020-09-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1205454287 | Janet Nickels | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-07-07 |
| 1417574054 | Kathryn Clemans | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
| 1992236996 | Destry Elms | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2017-03-22 |
| 1790226116 | Yirong Zhu | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2017-03-17 |
| 1952782021 | Brian Ernest Johnson | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153 | 2015-06-15 |
| 1205220449 | Nicholas Torgerson | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153 | 2015-03-25 |
| 1073959565 | Ami Umesh Badami | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2013-05-11 |
| 1619250461 | Malini M Patel | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2011-09-27 |
| 1265725592 | Patrick A Hagen | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2011-05-19 |
| 1144478421 | Aileen Go | Internal Medicine | 2160 S 1st Ave, Cardinal Bernardin Cancer Center, Maywood, IL 60153-3328 | 2008-08-28 |
| 1336303965 | Agne Paner | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2008-07-14 |
| Find all providers in MAYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.