Provider Demographics
NPI:1770751141
Name:SHERMAN HOSPITAL
Entity type:Organization
Organization Name:SHERMAN HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-429-4430
Mailing Address - Street 1:2320 ROYAL BLVD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4717
Mailing Address - Country:US
Mailing Address - Phone:847-429-4430
Mailing Address - Fax:847-429-4425
Practice Address - Street 1:2320 ROYAL BLVD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4717
Practice Address - Country:US
Practice Address - Phone:847-429-4430
Practice Address - Fax:847-429-4425
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHERMAN HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care