Sheehan, Kerry V

Sheehan, Kerry V is an individual health care provider with primary practice located at 6840 S. Main Street Suite 201, Downers Grove IL 60516-3493. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sheehan, Kerry V can be contacted via phone (630) 852-4551.

Contact Information

Primary practice address
6840 S. Main Street Suite 201 Downers Grove IL 60516-3493
Fax: (630) 852-0131
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036117980 Illinois

Profile Details

NPI number 1770758807
LBN Legal business name Sheehan, Kerry V
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Nov 17th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770758807 NPPES
Illinois MEDICAID 036117980

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