Thomas L Berry in Homewood - Nurse Practitioner
Thomas L Berry - NPI 1104830876
Thomas L Berry is a Nurse Practitioner in Homewood, Illinois. Thomas L Berry practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Thomas L Berry is 1104830876. The last update date is 2016-09-13.
Thomas L Berry's current location address is 3037 Fresno Ln, Homewood, Illinois. You can contact this provider via phone number 7089579121. The mailing address for Thomas L Berry is 3037 Fresno Ln, Homewood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas L Berry |
|---|---|
| Address | 3037 Fresno Ln, Homewood, Illinois |
| Phone Number | 7089579121 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1104830876 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2016-09-13 |
Provider Mailing Address Detail
| Address | 3037 Fresno Ln |
|---|---|
| City | Homewood |
| State | Illinois (IL) |
| Post Code | 604302840 |
| Phone Number | 7089579121 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209-005729 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209005729 | IL | -- | |
| P00792110 | IL | RR MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Thomas L Berry by the Centers for Medicare & Medicaid Services?
The Thomas L Berry has been assigned the NPI (National Provider Identifier) 1104830876 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Thomas L Berry is physically located?
The Thomas L Berry is situated at the following address: 3037 Fresno Ln, Homewood, IL 604302840.
What is Thomas L Berry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas L Berry's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
When did the Thomas L Berry receive its 1104830876?
The Thomas L Berry was issued its 1104830876 on 2006-07-28, which is the date when the organization was assigned this unique identifier.
As of what date were the Thomas L Berry's details last updated?
The information pertaining to the Thomas L Berry, including its address, specialty, and other details, was most recently updated on 2016-09-13.