Healthcare Provider Details

I. General information

NPI: 1134330871
Provider Name (Legal Business Name): KARI ELIZABETH SHERIDAN MS OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS KARI ELIZABETH DENKINS

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E SUPERIOR ST
CHICAGO IL
60611-2654
US

IV. Provider business mailing address

6556 N TAHOMA AVE
CHICAGO IL
60646-2825
US

V. Phone/Fax

Practice location:
  • Phone: 312-238-1228
  • Fax: 312-238-1229
Mailing address:
  • Phone: 773-631-7090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: