Provider Demographics
NPI:1801877261
Name:ALBRIGHT, SHERRY COLEEN
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:COLEEN
Last Name:ALBRIGHT
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 1:1110 W GALENA BLVD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-3621
Mailing Address - Country:US
Mailing Address - Phone:630-892-1995
Mailing Address - Fax:630-264-8364
Practice Address - Street 1:1110 W GALENA BLVD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-3621
Practice Address - Country:US
Practice Address - Phone:630-264-8391
Practice Address - Fax:630-264-8364
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
7068666OtherAETNA
04530128OtherBLUECROSS/BLUESHIELD
1241350001Medicare NSC