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SHERIDAN MEDICAL CENTER S.C NPI 1568671691


NPI Information

NPI: 1568671691
Provider Name: SHERIDAN MEDICAL CENTER, S.C

Former Legal Business Name: SHERIDAN MEDICAL CENTER, LLC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D2031651

Address:
840 W. IRVING PARK RD
SUITE 302
CHICAGO, IL
ZIP 60613
Phone: (773) 871-5150
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SHERIDAN MEDICAL CENTER, S.C is an internal medicine in Chicago, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SHERIDAN MEDICAL CENTER, S.C NPI is 1568671691. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Sheridan Medical Center, Llc.

The provider's business location address is:

840 W. IRVING PARK RD
SUITE 302
CHICAGO, IL
ZIP 60613-011
Phone: (773) 871-5150
Fax: (773) 871-5153

The provider's authorized official is Olumuyiwa Idowu .
The authorized official title is Medical Director and has the following contact phone number (773) 784-5150.

The CLIA number assigned to this NPI record is 14D2031651 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 5/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-Specialty336060802ILLINOISNo
2207R00000XInternal Medicine036-098784ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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