Most Relevant Information
Provider Data
| NPI Number: | 1003210097 |
| Provider Name: | JESSICA BETH BERG B.A., MHP |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/20/2014 |
| Last Updated: | 10/20/2014 |
Provider Practice Location
2025 WASHINGTON ST
WAUKEGAN
IL
600855131
Practice Location Phone/Fax
| Phone: | 8473601020 |
| Fax: | 8473601020 |
Provider Mailing Location
2025 WASHINGTON ST
WAUKEGAN
IL
600855131
Provider Mailing Phone/Fax
| Phone: | 8473601020 |
| Fax: | 8473601065 |