Healthcare Provider Details

I. General information

NPI: 1194252171
Provider Name (Legal Business Name): SHERI BLAND SOLUTIONS LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2017
Last Update Date: 05/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 HUNTINGTON DR N
ALGONQUIN IL
60102-4419
US

IV. Provider business mailing address

8815 BUNKER LN
CRYSTAL LAKE IL
60014-4000
US

V. Phone/Fax

Practice location:
  • Phone: 815-355-1116
  • Fax: 815-356-7139
Mailing address:
  • Phone: 224-325-7884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. SHERI ANN BLAND
Title or Position: PRESIDENT
Credential: LCSW
Phone: 224-325-7884