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General NPI Number Information
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NPI Number | 1235274085
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Entity Type | Organization
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Legal Business Name | SHERMANCHOICE, INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 934 CENTER ST SH0115
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City | ELGIN
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State | IL
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Zip | 60120-2125
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Country | US
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Telephone | 847-429-2997
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Fax |
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Provider Business Mailing Address
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Address Line | 934 CENTER ST SH0115
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City | ELGIN
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State | IL
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Zip | 60120-2125
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Country | US
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Telephone | 847-429-2997
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Fax | 847-429-3916
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Authorized Official
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Title or Position | CHAIRMAN, BOARD OF DIRECTORS
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Name | DR. RAMESH KHANNA
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Credential | M.D.
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Telephone | 847-429-2997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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