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NPI Code Detail

MEDICARE: JEREMY SHERER

MEDICARE:   JEREMY  SHERER
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics Physician01088393AIN
3208M00000XHospitalist Physician01088393AIN

General Provider Information

NPI Number : 1295231173
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY SHERER
Provider Business Mailing Address
First Line : PO BOX 719094
Second Line :
City : CHICAGO
State : IL
Zip : 60677-9318
Country : US
Telephone Number : 317-777-6435
Fax Number : 317-777-6644
Provider Business Practice Location Address
First Line : 720 ESKENAZI AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5187
Country : US
Telephone Number : 317-880-7666
Fax Number : 317-880-0448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2018
Last Update Date : 03/10/2026

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Directions to “ JEREMY SHERER ” Practice Location

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