| Sherri Klis Urso Md Sc | |
|
799 Roosevelt Rd Ste 4-314 Glen Ellyn IL 60137-5909 | |
| (630) 545-1477 | |
| (630) 545-1577 |
| Full Name | Sherri Klis Urso Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 799 Roosevelt Rd Ste 4-314, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Sherri Klis-urso (PRESIDENT) |
| Authorized Official Contact | 6308867376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherri Klis Urso Md Sc 799 Roosevelt Rd Ste 4-314 Glen Ellyn IL 60137-5909 Ph: (630) 886-7376 | Sherri Klis Urso Md Sc 799 Roosevelt Rd Ste 4-314 Glen Ellyn IL 60137-5909 Ph: (630) 545-1477 |
| NPI Number | 1174568828 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 2668485251 |
|---|---|
| Medicare Enrollment ID | O20060727000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174568828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-104305 (Illinois) | Primary |
| Provider Name | Sherri L Urso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275569584 PECOS PAC ID: 2264334127 Enrollment ID: I20040127000222 |
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