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Contact Information

TERESA E BERRY, MD
2119 LIVINGSTON ST
EVANSTON, IL60201-1428
 Phone: 847-475-5402
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TERESA E BERRY · (Female)

NPI Number 1689481467
Status Active
Credentials MD
Entity Individual
Enumeration date 12/16/2024
Last updated 12/16/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036.054139
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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