NPI 1013585074 · live from the CMS NPI Registry
Shelby J Berry, AuD
Audiologist-Hearing Aid Fitter in Peoria, IL. National Provider Identifier 1013585074, active.
NPI record
| NPI | 1013585074 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 3525 N University St, Peoria, IL 61604 |
| Practice phone | 855-476-5837 |
| Mailing address | Po Box 9727, Peoria, IL 61612 |
| Enumerated | June 16, 2021 |
| Last updated | July 15, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter primary | 237600000X | 147.001830 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.