Individual
CONNOR BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611-2929
(312) 695-3800
(312) 695-3644
Mailing address
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611-2929
(312) 695-3800
(312) 695-3644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008961
IL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
04/19/2022
Last updated
06/26/2024
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