Provider Demographics
NPI:1417718784
Name:BALDWIN, SHERYL HILLER (RN)
Entity Type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:HILLER
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 S RIVER ST UNIT 204
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-6078
Mailing Address - Country:US
Mailing Address - Phone:630-913-6564
Mailing Address - Fax:
Practice Address - Street 1:140 S RIVER ST UNIT 204
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-6078
Practice Address - Country:US
Practice Address - Phone:630-913-6564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171400000X
IL041245349163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171400000XOther Service ProvidersHealth & Wellness Coach