Provider Demographics
NPI:1225475064
Name:SHERIDAN, MARIA DAMICO (RN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DAMICO
Last Name:SHERIDAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:675 N SAINT CLAIR ST STE 12-200
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-5975
Mailing Address - Country:US
Mailing Address - Phone:312-695-5129
Mailing Address - Fax:312-695-4075
Practice Address - Street 1:675 N SAINT CLAIR ST STE 12-200
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5975
Practice Address - Country:US
Practice Address - Phone:312-695-5129
Practice Address - Fax:312-695-4075
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2021-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL209002398363LA2100X
IL041271116163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience