MR. LEON SHERRELL PHYSICIANS ASSISTANT NPI 1649395930

NPI Information

  • NPI: 1649395930
  • Provider Name: MR. LEON SHERRELL, PHYSICIANS ASSISTANT
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 654 E 47TH ST
    CHICAGO, IL
    ZIP 60653
  • Phone: (773) 624-4800

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NPI Details

MR. Leon Sherrell, PHYSICIANS ASSISTANT is a medical physician assistant in Chicago, IL. MR. Leon Sherrell, PHYSICIANS ASSISTANT NPI is 1649395930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

654 E 47TH ST
CHICAGO, IL
ZIP 60653-224
Phone: (773) 624-4800

The NPI 1649395930 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 10/6/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical085003211ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1138714ZAQPMEDICARE PINILLINOIS
2138714ZAQPMEDICARE PINMARYLAND

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: 11/21/2025

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