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Individual
JOHN BERRY
Active
Individual
JOHN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036092197
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092197
—
IL
Enumeration date
12/27/2005
Last updated
03/31/2021
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