James R Berg
ADVANCED ORTHOPAEDIC CENTER SC


Address: 616s Il Route 31 D, Mchenry, IL 60050-8269
Phone: 8153441400

James R Berg (NPI# 1679798326, PAC ID# 1557388105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1679798326
PAC ID by PECOS 1557388105
Professional Enrollment ID I20051104000087
Full Name James R Berg
Organization Legal Name ADVANCED ORTHOPAEDIC CENTER SC
Address 616s Il Route 31 D
Mchenry
IL 60050-8269
Phone Number 8153441400
Gender M
Credential MD
Medical School LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year 1967
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 3476570029
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140116 CENTEGRA HEALTH SYSTEM - MC HENRY HOSPITAL
140030 SHERMAN HOSPITAL
140291 ADVOCATE GOOD SHEPHERD HOSPITAL

Other Locations

Address Phone Organization
616s Il Route 31 D, Mchenry, IL 60050-8269 8153441400 ADVANCED ORTHOPAEDIC CENTER SC

Organization Information

Organization Legal Name ADVANCED ORTHOPAEDIC CENTER SC
Physicians 1

Office Location

Street Address 616S IL ROUTE 31 D
City MCHENRY
State IL
Zip 60050-8269

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Competitor

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City MCHENRY
Zip Code 60050
Specialty ORTHOPEDIC SURGERY
City + Specialty MCHENRY + ORTHOPEDIC SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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