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Search › Illinois › 106H00000X

Amanda Berry

NPI 1205379484 · on the registry since 2016 · sole proprietor

Practice

Address
1967 N Dayton St
Chicago, IL 60614
Phone
(312) 714-5168
Organisation at this address
Revive Relationship Therapy Inc.
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 939 W North Ave Ste 750, Chicago, IL

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-13

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