Provider Demographics
NPI:1811280142
Name:SHEEHAN, JAMES P JR (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:SHEEHAN
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 S. NAPER BLVD
Mailing Address - Street 2:STE 118
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-7399
Mailing Address - Country:US
Mailing Address - Phone:630-548-4624
Mailing Address - Fax:630-548-4658
Practice Address - Street 1:1212 S NAPER BLVD
Practice Address - Street 2:STE 118
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-7399
Practice Address - Country:US
Practice Address - Phone:630-548-4624
Practice Address - Fax:630-548-4658
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001374231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist