Individual
ALYSSA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11041 W 179TH ST, ORLAND PARK, IL 60467-9452
(708) 627-2202
Mailing address
11041 W 179TH ST, ORLAND PARK, IL 60467-9452
(708) 627-2202
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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