Provider Demographics
NPI:1235329731
Name:BOYD, SHEREE S (RN)
Entity Type:Individual
Prefix:
First Name:SHEREE
Middle Name:S
Last Name:BOYD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHEREE
Other - Middle Name:S
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:18309 GREENBAY AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-3004
Mailing Address - Country:US
Mailing Address - Phone:773-568-6761
Mailing Address - Fax:773-846-2286
Practice Address - Street 1:10560 S LASALLE ST.
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628
Practice Address - Country:US
Practice Address - Phone:773-568-6761
Practice Address - Fax:773-846-2286
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel