Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beth M Marshall-Bergman, DO

Individual provider Internal Medicine Physician · NPI 1962791657

Beth M Marshall-Bergman, DO is an Internal Medicine in Chicago, Illinois. Qualified in 2011, 15 years ago. Practices with Form Health Associates MA, PC, a 39-clinician group and offers telehealth. Licensed in Alabama, Georgia, Illinois and Kentucky and 4 more.

Years since qualifying
15
Licensed in
AL, GA, IL, KY, MI, MS
In the registry since
2011
Specialties on file
8
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

125 S Wacker Dr Ste 300
Chicago, IL 60606-4421
Phone: (617) 505-1520
Fax: (617) 928-8401
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.135673 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4856 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 3894 (WV)
Internal Medicine Physician Taxonomy 207R00000X · Licence C0750 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2877 (AL)
Internal Medicine Physician Taxonomy 207R00000X · Licence EMC0001956 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 30199 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 91988 (GA)

Record details

NPI number1962791657
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2011
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Form Health Associates Ma, P.C. — 39 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Chicago