Provider Demographics
NPI:1841714003
Name:VERHASSELT, SHERRILL J (APRN)
Entity type:Individual
Prefix:MRS
First Name:SHERRILL
Middle Name:J
Last Name:VERHASSELT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:SHERRILL
Other - Middle Name:J
Other - Last Name:KNOSPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1388 LAUREL OAKS DR.
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-3305
Mailing Address - Country:US
Mailing Address - Phone:630-363-2589
Mailing Address - Fax:
Practice Address - Street 1:501 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-9936
Practice Address - Country:US
Practice Address - Phone:630-752-5072
Practice Address - Fax:630-752-5575
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277000871363LF0000X
IL209015780363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily