Provider Demographics
NPI:1770264202
Name:BOGGS, SHERRII ADRIANNE (HEALTH COACH)
Entity type:Individual
Prefix:MRS
First Name:SHERRII
Middle Name:ADRIANNE
Last Name:BOGGS
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 W MONROE ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60644-4053
Mailing Address - Country:US
Mailing Address - Phone:708-935-4347
Mailing Address - Fax:
Practice Address - Street 1:5555 W MONROE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60644-4053
Practice Address - Country:US
Practice Address - Phone:708-935-4347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach