Justyne Dominique Cherisse Duberry, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

125.084890 Issued in IL

Practice address

John H Stroger Hospital of Cook County Health, Gme
1950 W Polk St, Suite 5210
Chicago, IL 60612-1833

Phone

(312) 864-1905

NPI assigned

Jun 27, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1114762606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOHN H STROGER HOSPITAL OF COOK COUNTY HEALTH, GME",
            "address_2": "1950 W POLK ST, SUITE 5210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121833",
            "telephone_number": "312-864-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN H STROGER HOSPITAL OF COOK COUNTY HEALTH, GME",
            "address_2": "1950 W POLK ST, SUITE 5210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121833",
            "telephone_number": "312-864-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBERRY",
        "first_name": "JUSTYNE",
        "middle_name": "DOMINIQUE CHERISSE",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125.084890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Duarte, M.D
• Ren F Duarte, PSY.D.
• Samantha E Duarte, MD
• Jeanette A. Dubay-McDermit, CRNA
• Michael Dubensky, LMT
• Sagel Kiran Dubey, MD
• Tehilla Dubin, LSW
• Yana Dubinsky, PSY.D.
• Gabrielle Bryn Duboff, BSN RN, PMH-BC, CPN
• Dubois-Douglas, Inc.

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.