Berry, Nada
Berry, Nada is an individual health care provider with primary practice located at 747 N Rutledge St 3Rd Floor, Springfield IL 62702-6700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Surgery of the Hand is her primary health care specialty. Berry, Nada can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
747 N Rutledge St 3Rd Floor
Springfield IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-2588
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 036-128728 | Illinois |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036-128728 | Illinois |
Profile Details
NPI number | 1619198157 |
---|---|
LBN Legal business name | Berry, Nada |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2007 |
Last updated | Oct 18th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619198157 | NPPES |
Illinois | MEDICAID | 036128728 |
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