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Organization
SHERIDAN MEDICAL CENTER, S.C
Active
Organization
SHERIDAN MEDICAL CENTER, S.C
Active
Other names
Sheridan Medical Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUMUYIWA IDOWU M.D. (MEDICAL DIRECTOR)
(773) 784-5150
Entity
Organization
Contact information
Practice address
840 W. IRVING PARK RD, SUITE 302, CHICAGO, IL 60613-3011
(773) 871-5150
(773) 871-5153
Mailing address
840 W IRVING PARK RD STE 204, CHICAGO, IL 60613-3011
(773) 871-5150
(773) 871-5153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-098784
IL
261QM1300X
Multi-Specialty Clinic/Center
336060802
IL
Other
Enumeration date
05/22/2007
Last updated
05/03/2023
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