STEPHANIE BERRY (NPI# 1477915759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477915759 |
| Entity Type | Individual |
| Full Name | STEPHANIE BERRY |
| Practice Address |
1000 N Westmoreland Rd Lake Forest IL 60045 |
| Mailing Address |
1000 N Westmoreland Rd Lake Forest IL 60045-1658 |
| Practice Telephone | 8472345600 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036.148525 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1675 Dempster St, C/o Yacktman Pavilion, Park Ridge, IL 600681110 | 8473189300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992037915 | Stephanie Ann Berry | Physical Therapist | 1451 Gateway Cir, Suite 500, Grimes, IA 50111-2017 | 2010-02-01 |
| 1720639701 | Stephanie Shante Berry | Home Health Aide | 7777 Bonhomme Ave, Saint Louis, MO 63105-1911 | 2019-09-22 |
| 1982251815 | Stephanie A Berry | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2019-08-26 |
| 1083179832 | Stephanie Berry | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2019-02-06 |
| 1396265559 | Stephanie Berry | Chiropractor | 4218 Main St, Dallas, TX 75226-1145 | 2017-06-20 |
| 1639554843 | Stephanie Berry | Speech-Language Pathologist | 14014 Marsh Pike, Hagerstown, MD 21742-1638 | 2015-07-29 |
| 1326385378 | Stephanie A Berry | Midwife | 1709 Rio Grande St, Austin, TX 78701-1123 | 2013-01-10 |
| 1386915601 | Stephanie R Berry | Nurse Practitioner | 701 S Zarzamora St, San Antonio, TX 78207-5209 | 2012-01-18 |
| 1437395613 | Stephanie Berry | Physician Assistant | 600 N Wolfe St, Phipps 579 C, Baltimore, MD 21287-8811 | 2008-12-18 |
| 1265607717 | Stephanie Berry | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2008-04-25 |
| Street Address |
1000 N WESTMORELAND RD |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025176 | Northwestern Lake Forest Hospital | General Acute Care Hospital | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2005-07-06 |
| 1528676467 | Wendy Sue Tokarz | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-07-16 |
| 1407479579 | Victoria Nguyen | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-05-24 |
| 1033739040 | Alexandra Jillayne Giedd | Student in an Organized Health Care Education/Training Program | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-04-20 |
| 1144867441 | Brandon Stuart Blackwood | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-12-05 |
| 1619512019 | Robert William Radtke IIi | Physician Assistant | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-11-10 |
| 1972145001 | Steffy James | Family Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-10-10 |
| 1720631559 | Brianna Nicole Selimos | Plastic Surgery | 1000 N Westmoreland Rd, Lake Forest, IL 60045 | 2019-07-21 |
| 1679137855 | Sylvia Joanna Wier | Plastic Surgery | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-04-23 |
| 1477038347 | Jennifer Nicole Nelson | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2018-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1972880839 | Nicole Krein | Pediatrics | 815 Valley Road, Lake Forest, IL 60045 | 2011-11-07 |
| 1316032972 | Eric Howard Ball | Pediatrics | 23321 El Toro Road, Suites F&g, Lake Forest, CA 92630 | 2006-10-03 |
| 1881643021 | Southern Orange County Pediatric Associates, Inc. | Pediatrics | 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630-4825 | 2006-05-07 |
| 1578533600 | Laurie C Hochberg | Pediatrics | 900 N. Westmoreland, Suite 217, Lake Forest, IL 60045 | 2006-01-23 |
| 1366437352 | Sheri Ross | Pediatrics | 900 N Westmoreland Rd, 106, Lake Forest, IL 60045-1674 | 2005-09-15 |
| 1982958013 | Pediatrust, L.L.C. | Pediatrics | 900 N Westmoreland Rd, Suite 217, Lake Forest, IL 60045-1674 | 2012-10-26 |
| 1982916375 | Katherine Danielle Williamson | Pediatrics | 23321 El Toro Rd, Suite F, Lake Forest, CA 92630-4825 | 2010-07-14 |
| 1003011628 | Lake Shore Pediatrics, Ltd | Pediatrics | 900 N Westmoreland Rd, Suite 106, Lake Forest, IL 60045-1674 | 2007-06-15 |
| 1962616656 | James Leon Kay | Pediatrics | 24432 Muirlands Blvd, Suite 111, Lake Forest, CA 92630-3939 | 2007-05-10 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.