Provider Demographics
NPI:1740533835
Name:SHERWOOD, ABBY L (DC)
Entity type:Individual
Prefix:DR
First Name:ABBY
Middle Name:L
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E. ELM STREET
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:IL
Mailing Address - Zip Code:61520
Mailing Address - Country:US
Mailing Address - Phone:309-647-7490
Mailing Address - Fax:309-647-7494
Practice Address - Street 1:410 E ELM STREET
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:IL
Practice Address - Zip Code:61520
Practice Address - Country:US
Practice Address - Phone:309-647-7490
Practice Address - Fax:309-647-7494
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012231111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor