Individual
DR. BRIAN PAUL BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1243 W BOUGHTON RD, BOLINGBROOK, IL 60440-1509
(630) 679-0900
(630) 679-0213
Mailing address
8628 KOEHLER DR, TINLEY PARK, IL 60477-8629
(708) 633-4621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009359
IL
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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