Mr Thomas L Berry, NP | |
7850 W College Dr, Palos Heights, IL 60463-1010 | |
(708) 361-6990 | |
(708) 361-7697 |
Full Name | Mr Thomas L Berry |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 7850 W College Dr, Palos Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104830876 | NPI | - | NPPES |
209005729 | Medicaid | IL | |
P00792110 | Other | IL | RR MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209-005729 (Illinois) | Primary |
Entity Name | Northwest Medical Foundation Of Tillamook |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas L Berry, NP 3037 Fresno Ln, Homewood, IL 60430-2840 Ph: (708) 957-9121 | Mr Thomas L Berry, NP 7850 W College Dr, Palos Heights, IL 60463-1010 Ph: (708) 361-6990 |
Catherine Sinclair, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7300 W College Dr Ste 102, Palos Heights, IL 60463 Phone: 708-840-3733 | |
Thomas F. Gutchewsky, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463 Phone: 708-923-4200 Fax: 708-923-4201 | |
Valerie Saffar, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-5869 Fax: 708-923-5859 | |
Julie Elizabeth Vanourek, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-5300 Fax: 708-923-4201 | |
Alla Yakovleva, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12632 S Harlem Ave, Palos Heights, IL 60463 Phone: 708-587-0000 Fax: 708-623-7628 | |
Sumera Seraj, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12508 S Harlem Ave, Palos Heights, IL 60463 Phone: 708-671-1685 | |
Jessica Kubicki, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-5869 Fax: 708-923-5859 |