Provider Demographics
NPI:1346689072
Name:SHELDON, JUDITH A (APN)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:A
Last Name:SHELDON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:A
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4300 COMMERCE CT STE 250
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-3674
Mailing Address - Country:US
Mailing Address - Phone:630-730-5506
Mailing Address - Fax:603-305-8549
Practice Address - Street 1:4300 COMMERCE CT STE 250
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-3674
Practice Address - Country:US
Practice Address - Phone:630-730-5506
Practice Address - Fax:630-305-8549
Is Sole Proprietor?:No
Enumeration Date:2013-06-16
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010258363LF0000X
IL041270823163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse