Healthcare Provider Details

I. General information

NPI: 1881513653
Provider Name (Legal Business Name): BIANCA ANN BERRYHILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E WASHINGTON ST STE 1206
CHICAGO IL
60602-1867
US

IV. Provider business mailing address

13421 S 37TH PL
PHOENIX AZ
85044-4540
US

V. Phone/Fax

Practice location:
  • Phone: 602-715-0501
  • Fax: 888-268-1706
Mailing address:
  • Phone: 602-715-0501
  • Fax: 888-268-1706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: