Individual
JONATHAN L BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5859
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.157777
IL
208M00000X
Hospitalist Physician
Primary
036157777
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
11/05/2024
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