Individual
CAROLINE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11420 S WESTERN AVE, CHICAGO, IL 60643-4120
(773) 779-1111
Mailing address
PO BOX 542, OAK LAWN, IL 60454-0542
(773) 779-1111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.025642
IL
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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