Provider Demographics
NPI:1003611443
Name:SUN, YAN (SHERI HO)
Entity type:Individual
Prefix:MRS
First Name:YAN (SHERI HO)
Middle Name:
Last Name:SUN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27W140 ROOSEVELT RD STE 203
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1641
Mailing Address - Country:US
Mailing Address - Phone:847-398-7193
Mailing Address - Fax:
Practice Address - Street 1:27W140 ROOSEVELT RD STE 203
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1641
Practice Address - Country:US
Practice Address - Phone:847-398-7193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral