Provider Demographics
NPI:1922085281
Name:SHERMAN, NADA L (MD)
Entity Type:Individual
Prefix:MS
First Name:NADA
Middle Name:L
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62647 COLLECTION CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60693-0626
Mailing Address - Country:US
Mailing Address - Phone:773-320-9403
Mailing Address - Fax:708-216-4878
Practice Address - Street 1:4400 W 95TH ST
Practice Address - Street 2:SUITE #311
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2654
Practice Address - Country:US
Practice Address - Phone:708-424-9710
Practice Address - Fax:708-424-4331
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036105203207RX0202X
IL036-105203207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36105203Medicaid
ILK06877Medicare ID - Type Unspecified
I06937Medicare UPIN
ILK06878Medicare ID - Type Unspecified