| Sheridan Medical Center, S.c | |
|
840 W. Irving Park Rd Suite 302 Chicago IL 60613-3011 | |
| (773) 871-5150 | |
| (773) 871-5153 |
| Full Name | Sheridan Medical Center, S.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 840 W. Irving Park Rd, Chicago, Illinois |
| Authorized Official Name and Position | Olumuyiwa Idowu (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7737845150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan Medical Center, S.c 840 W Irving Park Rd Ste 204 Chicago IL 60613-3011 Ph: (773) 871-5150 | Sheridan Medical Center, S.c 840 W. Irving Park Rd Suite 302 Chicago IL 60613-3011 Ph: (773) 871-5150 |
| NPI Number | 1568671691 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 05/03/2023 |
| Medicare PECOS PAC ID | 8325219587 |
|---|---|
| Medicare Enrollment ID | O20110919000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568671691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-098784 (Illinois) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | 336060802 (Illinois) | Secondary |
| Provider Name | Olumuyiwa Idowu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538254511 PECOS PAC ID: 3476445594 Enrollment ID: I20040325000595 |
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