MEDICARE: SHERLYNDA CALVAN P.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	225100000X	Physical Therapist	070017251	IL

General Provider Information

NPI Number	:	1922239441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERLYNDA CALVAN P.T.

Provider Business Mailing Address
First Line	:	1880 N ROSELLE RD STE 208
Second Line	:
City	:	SCHAUMBURG
State	:	IL
Zip	:	60195-3173
Country	:	US
Telephone Number	:	630-339-5300
Fax Number	:	866-596-3185

Provider Business Practice Location Address
First Line	:	1880 N ROSELLE RD STE 208
Second Line	:
City	:	SCHAUMBURG
State	:	IL
Zip	:	60195-3173
Country	:	US
Telephone Number	:	630-339-5300
Fax Number	:	866-596-3185

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

Provider Enumeration Date	:	07/31/2009
Last Update Date	:	07/31/2009

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