Doctor Name: | MS. ANNE ELIZABETH KRISTUFEK-BERGLUND |
NPI Number: | 1588711196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW BCD |
License Number: | |
Business Practice Address: | 6 Westlake Dr South Barrington, IL - 600105341 |
Business Phone Number: | 8478368321 |
Business Fax Number: | 8478369452 |
Mailing Address: | 6 Westlake Dr, SOUTH BARRINGTON |
State: | IL |
Postal Code: | 600105341 |
Phone Number: | 8478368321 |
Fax Number: | 8478369452 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |