Provider Demographics
NPI:1639698426
Name:MILES, SHERI
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:MILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 WESTFIELD CRSE
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-3462
Mailing Address - Country:US
Mailing Address - Phone:708-732-6926
Mailing Address - Fax:
Practice Address - Street 1:201 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-1565
Practice Address - Country:US
Practice Address - Phone:630-463-3386
Practice Address - Fax:630-463-3386
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist