Provider Demographics
NPI:1093049751
Name:ANKROM, SHERYL LYNN (LCPC)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:LYNN
Last Name:ANKROM
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18301 DISTINCTIVE DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9461
Mailing Address - Country:US
Mailing Address - Phone:708-606-1334
Mailing Address - Fax:708-570-1617
Practice Address - Street 1:18301 DISTINCTIVE DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9461
Practice Address - Country:US
Practice Address - Phone:708-606-1334
Practice Address - Fax:708-479-5055
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional