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NPI Code Detail

MEDICARE: SHERREE MCCOOL

MEDICARE: SHERREE MCCOOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041379918IL
2363LF0000XFamily Nurse Practitioner209.016471IL

General Provider Information

NPI Number : 1104354257
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERREE MCCOOL
Provider Business Mailing Address
First Line : 17902 MILLSTONE RD
Second Line :
City : HAZEL CREST
State : IL
Zip : 60429-2170
Country : US
Telephone Number : 773-515-2372
Fax Number :
Provider Business Practice Location Address
First Line : 11000 S HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60628-3909
Country : US
Telephone Number : 773-840-4747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2017
Last Update Date : 07/21/2022

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Directions to “ SHERREE MCCOOL ” Practice Location

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