Provider Demographics
NPI:1760546469
Name:NYENHUIS, SHARMILEE M (MD)
Entity Type:Individual
Prefix:
First Name:SHARMILEE
Middle Name:M
Last Name:NYENHUIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHARMILEE
Other - Middle Name:M
Other - Last Name:CHUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:840 S WOOD ST
Mailing Address - Street 2:MC 719 920N CSB
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4325
Mailing Address - Country:US
Mailing Address - Phone:312-413-1655
Mailing Address - Fax:312-996-4665
Practice Address - Street 1:1801 W TAYLOR ST
Practice Address - Street 2:SUITE 3C MC755
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4795
Practice Address - Country:US
Practice Address - Phone:312-413-2088
Practice Address - Fax:312-996-3896
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49275207RA0201X
IL036.114534207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology