Search › Illinois › 152W00000X
Brian Berry, O.D
NPI 1073677886 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1243 W Boughton Rd
Bolingbrook, IL 60440 - Phone
- (630) 679-0900
- Fax
- (630) 679-0213
- Organisation at this address
- Ziva Optical, Ltd.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois