Provider Demographics
NPI:1437383528
Name:BOUCHER-BERRY, CLAUDIA CHERYL (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:CHERYL
Last Name:BOUCHER-BERRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:840 S WOOD ST # MC856
Mailing Address - Street 2:DEPARTMENT OF PEDIATRIC ENDOCRINOLOGY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4325
Mailing Address - Country:US
Mailing Address - Phone:312-996-1795
Mailing Address - Fax:312-996-8218
Practice Address - Street 1:840 S WOOD ST # MC856
Practice Address - Street 2:DEPARTMENT OF PEDIATRIC ENDOCRINOLOGY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4325
Practice Address - Country:US
Practice Address - Phone:312-996-1795
Practice Address - Fax:312-996-8218
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2022-01-18
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Provider Licenses
StateLicense IDTaxonomies
IL036126838208000000X, 2080P0205X
NY2451442080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics