Provider Demographics
NPI:1134499593
Name:SHERMAN, JEFFREY WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:WAYNE
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 LAKE COOK RD.
Mailing Address - Street 2:SUITE 520
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5633
Mailing Address - Country:US
Mailing Address - Phone:224-383-3000
Mailing Address - Fax:847-939-1576
Practice Address - Street 1:520 LAKE COOK RD.
Practice Address - Street 2:SUITE 520
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5633
Practice Address - Country:US
Practice Address - Phone:224-383-3000
Practice Address - Fax:847-939-1576
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.064589207RI0200X
CAG54695207RI0200X
NJ25MA05274300207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease