MEDICARE: ALYSSA BERRY DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		IL

General Provider Information

NPI Number	:	1609706043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA BERRY DMD

Provider Business Mailing Address
First Line	:	11041 W 179TH ST
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-9452
Country	:	US
Telephone Number	:	708-627-2202
Fax Number	:

Provider Business Practice Location Address
First Line	:	11041 W 179TH ST
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-9452
Country	:	US
Telephone Number	:	708-627-2202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

Similar Medicare Providers

1356539225 — DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Practice Location Address:

11041 W 179TH ST
ORLAND PARK, IL
60467-9452

Practice Phone: 708-478-5093
Practice Fax: 708-478-5096

1801343090 — DR. TASHA DHIR DDS
Practice Location Address:

11041 W 179TH ST
ORLAND PARK, IL
60467-9452

Practice Phone: 708-478-5093
Practice Fax: 708-478-5096

1457449639 — NORTH HILL ORTHOPAEDIC SURGERY, INC.
Practice Location Address:

1 PARK CENTER DR STE 304 , ONE PARK CENTRE DRIVE
WADSWORTH, OH
44281-9452

Practice Phone: 330-334-5265
Practice Fax: 330-334-5006

1578084281 — CRISPUS NYAMBARIGA OMBUI CRNA
Practice Location Address:

9452 RANDAL PARK BLVD , UNIT 2-2126
ORLANDO, FL
32832

Practice Phone: 763-568-8112
Practice Fax:

1083261523 — JOHANN MENDEZ SPECIAL ED. TEACHER
Practice Location Address:

9452 MAGNOLIA CT # 1B
OZONE PARK, NY
11417-2958

Practice Phone: 917-680-8252
Practice Fax:

1013763879 — NOHA A HASAN BEHAVIOR ANALYST
Practice Location Address:

16730 LEE ST
ORLAND PARK, IL
60467-8709

Practice Phone: 708-275-6104
Practice Fax:

Directions to “ ALYSSA BERRY DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.