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Contact Information

STEPHEN M. BERRY
401 S. LASALLE ST.
SUITE 800J
CHICAGO, IL60605
 Phone: 630-530-1450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for STEPHEN M. BERRY

NPI # 1013396043
LBN Legal business name STEPHEN M. BERRY
Authorized official STEPHEN BERRY - (CLINICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2015
Last updated 05/22/2015 - About 11 years ago
Identifiers
IL License # 149011518
IL Other 149011518 DEPARTMENT OF PROFESSIONAL REGULATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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