| Joel Sherr Sc | |
|
1010 W Lake St Suite 614 Oak Park IL 60301-1147 | |
| (708) 214-8768 | |
| Not Available |
| Full Name | Joel Sherr Sc |
|---|---|
| Speciality | Social Worker |
| Location | 1010 W Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Joel F Sherr (PRESIDENT) |
| Authorized Official Contact | 7082148768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Sherr Sc 611 N Marion St Oak Park IL 60302-1631 Ph: (708) 214-8768 | Joel Sherr Sc 1010 W Lake St Suite 614 Oak Park IL 60301-1147 Ph: (708) 214-8768 |
| NPI Number | 1922376490 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 05/15/2012 |
| Medicare PECOS PAC ID | 8022270222 |
|---|---|
| Medicare Enrollment ID | O20120504000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922376490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149001038 (Illinois) | Primary |
| Provider Name | Joel F Sherr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760592620 PECOS PAC ID: 0840210399 Enrollment ID: I20051130000048 |
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