Jonathan L Berry, DO
Hospitalist in Palos Heights, IL. Individual provider (NPI-1).
NPI number1942705587
StatusActive
Last updated in NPPESNov 5, 2024
Details
- NPI
- 1942705587
- Entity type
- Individual (NPI-1)
- Name
- Jonathan L Berry
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2018
- Certification date
- Nov 5, 2024
- Last updated
- Nov 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 036157777 | PA | Yes |
| 207R00000X | Internal Medicine | 036.157777 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
12251 S 80th AvePalos Heights, IL 60463-1290
Phone 708-923-4000 · Fax 708-923-5859
Mailing address
12251 S 80th AvePalos Heights, IL 60463-1290
Phone 708-923-4000 · Fax 708-923-5859
Other practice locations
2800 W 95th St
Evergreen Park, IL 60805-2701
Evergreen Park, IL 60805-2701
Phone 708-422-6200
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