| Stephen M. Berry | |
|
401 S. Lasalle St. Suite 800j Chicago IL 60605 | |
| (630) 530-1450 | |
| Not Available |
| Full Name | Stephen M. Berry |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 401 S. Lasalle St., Chicago, Illinois |
| Authorized Official Name and Position | Stephen M Berry (CLINICAL THERAPIST) |
| Authorized Official Contact | 6305301450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M. Berry 401 S. Lasalle St. Suite 800j Chicago IL 60605 Ph: (630) 530-1450 | Stephen M. Berry 401 S. Lasalle St. Suite 800j Chicago IL 60605 Ph: (630) 530-1450 |
| NPI Number | 1013396043 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013396043 | NPI | - | NPPES |
| 149011518 | Other | IL | DEPARTMENT OF PROFESSIONAL REGULATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149011518 (Illinois) | Primary |
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