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General NPI Number Information
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NPI Number | 1164776175
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Entity Type | Organization
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Legal Business Name | SHERRIE D ALL, PHD, PC
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE STE 2029
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City | CHICAGO
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State | IL
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Zip | 60602-3611
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Country | US
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Telephone | 855-264-9355
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Fax | 855-792-0240
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Provider Business Mailing Address
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Address Line | 30 N MICHIGAN AVE STE 2029
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City | CHICAGO
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State | IL
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Zip | 60602-3611
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Country | US
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Telephone | 855-264-9355
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Fax | 855-792-0240
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Authorized Official
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Title or Position | OWNER
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Name | SHERRIE D ALL
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Credential | PHD
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Telephone | 855-264-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 071007929
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License Number State | IL
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