Philip H Sheridan Jr Sc

LBN: Philip H Sheridan Jr Sc
Philip H Sheridan Jr Sc is an health care organization with primary practice located at 2650 Ridge Ave , Evanston IL 60201-1718. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty. Philip H Sheridan Jr Sc can be contacted via phone (847) 657-1960, or through Sheridan, Philip H via phone (847) 774-7836.

Contact Information

Primary practice address
2650 Ridge Ave Evanston IL 60201-1718
Phone: (847) 657-1960
Fax: (847) 446-1893
Website:
Map and Directions
Authorized official contact:
Name: Sheridan, Philip H Doctor of Medicine (MD)
Phone: (847) 774-7836

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036079226 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036079226 Illinois

Profile Details

NPI number 1992980627
LBN Legal business name Philip H Sheridan Jr Sc
DBA Doing business as
Authorized official Sheridan, Philip H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2007
Last updated Aug 29th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992980627 NPPES
Illinois Other 216062 MEDICARE
Illinois Other 01637916 MEDICARE
Illinois MEDICAID 036079226 MEDICARE

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