Berry, Christopher John
Berry, Christopher John is an individual health care provider with primary practice located at 5 Kish Hospital Dr Ste 103 , Dekalb IL 60115-9602. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Berry, Christopher John can be contacted via phone (630) 232-0280.Contact Information
Primary practice address
5 Kish Hospital Dr Ste 103
Dekalb IL 60115-9602
Phone: (630) 232-0280
Fax: (630) 315-1339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-101679 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36039 | Iowa |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036-101679 | Illinois |
Profile Details
| NPI number | 1770668527 |
|---|---|
| LBN Legal business name | Berry, Christopher John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Apr 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770668527 | NPPES |
| Illinois | Other | 206147 | MEDICARE PTAN (GROUP) |
| Illinois | MEDICAID | 036101679 | MEDICARE PTAN (GROUP) |
| Illinois | Other | F400124149 | MEDICARE PTAN (GROUP) |
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