Berry, John

Berry, John is an sole proprietor health care provider with primary practice located at 6801 34Th St Suite 107, Berwyn IL 60402-5591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Berry, John can be contacted via phone (708) 484-8400.

Contact Information

Primary practice address
6801 34Th St Suite 107 Berwyn IL 60402-5591
Fax: (708) 484-8426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036092197 Illinois

Profile Details

NPI number 1194702795
LBN Legal business name Berry, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated Mar 31st, 2021 - about 4 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194702795 NPPES
Illinois MEDICAID 036092197

Popular Providers