Healthcare Provider Details

I. General information

NPI: 1760644991
Provider Name (Legal Business Name): SHEILA B. MCGREAL NP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2008
Last Update Date: 10/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 S. MARYLAND AVE
CHICAGO IL
60637-1447
US

IV. Provider business mailing address

150 HARVESTER DR STE 300
BURR RIDGE IL
60527-5965
US

V. Phone/Fax

Practice location:
  • Phone: 844-755-8267
  • Fax: 773-834-7966
Mailing address:
  • Phone: 708-684-4077
  • Fax: 708-684-1028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209008623
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number209.007048
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: