MICHAEL A BERGOM

SHILOH, IL
NPI1801814108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  036153202)
Additional Taxonomies208600000X Surgery
(Licence: WI  45795)
Enumeration Date2006-07-17
Last Update Date2024-03-20
Business Address
MICHAEL A BERGOM MD
1414 CROSS STREET SUITE 330
SHILOH, IL 62269-2998
Phone number: 618-277-7400
Mailing Address
MICHAEL A BERGOM MD
1414 CROSS STREET SUITE 330
SHILOH, IL 62269-2998
Phone number: 618-277-7400
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