Individual
SHERRI B MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 N WALL ST, KANKAKEE, IL 60901-2942
(844) 404-4787
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(217) 366-8107
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002797
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371327680
TAXID
—
01
—
K30638
MEDICARE ID NUMBER
—
Enumeration date
09/08/2006
Last updated
09/22/2022
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