Individual
SOTHIDA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 936-4029
(815) 936-4032
Mailing address
1135 S DELANO CT E, APT 427, CHICAGO, IL 60605-3457
(219) 669-9505
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
93131
IL
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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