Provider Demographics
NPI:1073616280
Name:PRENTISS, SHERI YOLANDA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:YOLANDA
Last Name:PRENTISS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:1507 E 53RD ST
Mailing Address - Street 2:# 274
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-4573
Mailing Address - Country:US
Mailing Address - Phone:847-602-2277
Mailing Address - Fax:
Practice Address - Street 1:2238 N CYPRESS BEND DR
Practice Address - Street 2:APT 502
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-5618
Practice Address - Country:US
Practice Address - Phone:847-602-2277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0919212083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine