MRS. MALLORY MARIE BERG FNP-C
NPI 1720507767
Pediatrics in Palos Park, IL

Active since September 11, 2017
8100 W 119TH ST, PALOS PARK, IL 60464(708) 361-3300 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Sep 11, 2017 (2 updates tracked since 2017).

About Mrs. Mallory Marie Berg Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MALLORY MARIE BERG FNP-C (NPI 1720507767) is an individual pediatrics provider in Palos Park, Illinois, licensed in Illinois (209.016365) and active in the NPI registry since September 2017. She maintains a secondary practice location in Mokena.

NPPES Registry Identity

NPI1720507767
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. MALLORY MARIE BERGCredential: FNP-C
Location Address8100 W 119TH STPalos Park, IL 60464-3041
Mailing Address10129 Buell CtOak Lawn, IL 60453-3802
Sole ProprietorYes
Enumeration DateSeptember 11, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1720507767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 209.016365
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8100 W 119TH ST, Palos Park, IL 60464

Secondary Practice Location 1

Location 19400 Bormet DrMokena, IL 60448-8371 · Phone (708) 479-7337

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
8100 W 119TH ST
PALOS PARK, IL 60464
Pediatrics
8100 W 119TH ST, ST # 400
PALOS PARK, IL 60464
Pediatrics
8100 W 119TH ST
PALOS PARK, IL 60464
Pediatrics
8100 W 119TH ST
PALOS PARK, IL 60464
Pediatrics
8100 W 119TH ST
PALOS PARK, IL 60464
Pediatrics
8100 W 119TH ST
PALOS PARK, IL 60464
Clinic/Center (Dental)
8100 W 119TH ST, SUITE 300
PALOS PARK, IL 60464
Pediatrics
8100 W 119TH ST
PALOS PARK, IL 60464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Berg's NPI number?

The NPI number for Mallory Berg is 1720507767. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Mallory Berg located?

Mallory Berg practices at 8100 W 119th St, Palos Park, IL 60464. The listed phone number is (708) 361-3300.

What is Mallory Berg's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mallory Berg was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.