MEDICARE: MRS. SHERYL K MAGEE M.SP.T.

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
1	2251P0200X	Pediatric Physical Therapist		IL

General Provider Information

NPI Number	:	1578580932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERYL K MAGEE M.SP.T.

Provider Business Mailing Address
First Line	:	PO BOX 724
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60039-0724
Country	:	US
Telephone Number	:	815-477-4251
Fax Number	:

Provider Business Practice Location Address
First Line	:	6416 REDBIRD LN
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60012-3325
Country	:	US
Telephone Number	:	815-477-4251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	09/06/2023

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