Individual
DR. CHARLES HENRY BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1525 E 53RD ST, SUITE 934, CHICAGO, IL 60615-4557
(773) 643-8088
Mailing address
6511 S INGLESIDE AVE, CHICAGO, IL 60637-4203
(773) 643-8088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006370
IL
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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