Individual provider · Type 1 NPI

Ethan Patrick Berg, DO

Family Medicine Physician · Springfield, IL

NPI number 1831629401 Active

Practice location

520 N 4th St
Springfield, IL 62702-5238

Fax (217) 757-8161

Mailing address

PO Box 19670
Springfield, IL 62794-9670

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X125071205 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1831629401

Ethan Patrick Berg, DO's National Provider Identifier is 1831629401, issued on Jun 15, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Springfield, IL. The record was last updated on Jun 15, 2017.