Individual
JENNIFER LOUISE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
301 N 8TH ST, PAV 5B, SPRINGFIELD, IL 62701-1041
(217) 545-6099
(217) 545-7386
Mailing address
PO BOX 19662, SPRINGFIELD, IL 62794-9662
(217) 545-6099
(217) 545-7386
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-001382
IL
Other
Enumeration date
09/07/2011
Last updated
02/16/2015
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