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Organization
STEPHEN M. BERRY
Active
Organization
STEPHEN M. BERRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M BERRY LCSW (CLINICAL THERAPIST)
(630) 530-1450
Entity
Organization
Contact information
Practice address
401 S. LASALLE ST., SUITE 800J, CHICAGO, IL 60605
(630) 530-1450
Mailing address
401 S. LASALLE ST., SUITE 800J, CHICAGO, IL 60605
(630) 530-1450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011518
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149011518
DEPARTMENT OF PROFESSIONAL REGULATION
IL
Enumeration date
05/22/2015
Last updated
05/22/2015
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