Provider Demographics
NPI:1134330871
Name:SHERIDAN, KARI ELIZABETH (MS OTRL)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:ELIZABETH
Last Name:SHERIDAN
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:MISS
Other - First Name:KARI
Other - Middle Name:ELIZABETH
Other - Last Name:DENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6556 N TAHOMA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-2825
Mailing Address - Country:US
Mailing Address - Phone:773-631-7090
Mailing Address - Fax:
Practice Address - Street 1:345 E SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2654
Practice Address - Country:US
Practice Address - Phone:312-238-1228
Practice Address - Fax:312-238-1229
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist