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RUSSELL BERGTOLD
NPI 1982266698
Counselor - Addiction (Substance Use Disorder) in East Hazel Crest, IL

Active since July 02, 2019
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429(708) 647-3333 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell Bergtold NPPES

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

RUSSELL BERGTOLD (NPI 1982266698) is an individual addiction (substance use disorder) provider in East Hazel Crest, Illinois and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1982266698
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRUSSELL BERGTOLD
Location Address1909 CHEKER SQEast Hazel Crest, IL 60429-1442
Mailing Address1909 Cheker SqEast Hazel Crest, IL 60429-1442
Phone(708) 647-3333
Sole ProprietorNo
Enumeration DateJuly 2, 2019
✔ NPI 1982266698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1909 CHEKER SQ, East Hazel Crest, IL 60429
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Other Providers at the Same Location NPPES 20

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

MS. DANA MARIE AIKENS CSADC, MISAI, ATE
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3371
JASMINE CARTER
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3333
TIMOTHY BROWN BA, CADC
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3333
MARIAH MURPHY
Counselor
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (866) 477-8632
BARBARA JULIAN
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3331
CRYSTAL BERYMON
Case Manager/Care Coordinator
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 444-1012
VICTORIA MORADEYO ADELEKE
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3333
LIZ FRAUSTO B.A.
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3343

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 Russell Bergtold's NPI number?

The NPI number for Russell Bergtold is 1982266698. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Russell Bergtold located?

Russell Bergtold practices at 1909 Cheker Sq, East Hazel Crest, IL 60429. The listed phone number is (708) 647-3333.

What is Russell Bergtold's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Russell Bergtold was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.