Individual provider · NPI-1

Dr. Madeline Patricia Bernbom, Psy.D.

Psychologist, Clinical · Oak Brook, IL

NPI number1629126065
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1629126065
Entity type
Individual (NPI-1)
Name
Dr. Madeline Patricia Bernbom
Credential
Psy.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical071004123ILYes

Practice location

120 Oakbrook Ctr
Suite 720
Oak Brook, IL 60523-1806

Phone 630-368-2700 · Fax 630-574-2772

Mailing address

120 Oakbrook Ctr
Suite 720
Oak Brook, IL 60523-1806

Phone 630-368-2700 · Fax 630-574-2772

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