Doctor Name: | SHERRIE MICHELLE BERRY |
NPI Number: | 1205154143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1010947068 |
Business Practice Address: | 3631 W 183rd St Hazel Crest, IL - 604292409 |
Business Phone Number: | 7087994240 |
Business Fax Number: | 7087994241 |
Mailing Address: | 3631 W 183rd St, HAZEL CREST |
State: | IL |
Postal Code: | 604292409 |
Phone Number: | 7087994240 |
Fax Number: | 7087994241 |
NPI Enumeration Date: | 05/15/2010 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1010947068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |