RENEE BERGSTROM APN NPI 1225515273

NPI Information

NPI: 1225515273
Provider Name: RENEE BERGSTROM, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: RUSH-COPLEY ORTHOPEDICS, LLC

PECOS Registration: Yes

Address:
2111 OGDEN AVE
AURORA, IL
ZIP 60504
Phone: (630) 978-3800
Get Directions

Renee Bergstrom, APN is a family nurse practitioner in Aurora, IL with 6 years of experience. Renee Bergstrom, APN NPI is 1225515273. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2111 OGDEN AVE
AURORA, IL
ZIP 60504-597
Phone: (630) 978-3800
Fax: (630) 862-3085

The NPI 1225515273 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2018 and was last updated on 4/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041-361808	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209018208	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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