Provider Demographics
NPI:1164660445
Name:BERING, JONASA M (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:JONASA
Middle Name:M
Last Name:BERING
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 INDIANSPRING LN.
Mailing Address - Street 2:
Mailing Address - City:BUFFALOGROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089
Mailing Address - Country:US
Mailing Address - Phone:773-262-8980
Mailing Address - Fax:773-262-8982
Practice Address - Street 1:7055 N. CLARK STREET
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626
Practice Address - Country:US
Practice Address - Phone:773-262-8980
Practice Address - Fax:773-262-8982
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-350916163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse