Healthcare Provider Details

I. General information

NPI: 1427766674
Provider Name (Legal Business Name): SHERLYN H. ARBOLADO MSN, APRN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12632 S HARLEM AVE
PALOS HEIGHTS IL
60463-1428
US

IV. Provider business mailing address

12632 S HARLEM AVE
PALOS HEIGHTS IL
60463-1428
US

V. Phone/Fax

Practice location:
  • Phone: 708-587-0000
  • Fax: 708-623-7628
Mailing address:
  • Phone: 708-587-0000
  • Fax: 708-623-7628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number209025835
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209025835
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209025835
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209025835
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: