Organization
INNERPEACE NATURAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNN SHERIDAN (PRESIDENT)
(815) 773-2373
Entity
Organization
Contact information
Practice address
1002 INFANTRY DRIVE, #E, JOLIET, IL 60435-3010
(815) 773-2373
(815) 773-2374
Mailing address
1002 INFANTRY DRIVE #E, JOLIET, IL 60435-3010
(815) 773-2373
(815) 773-2374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0170213387
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017021387
STATE OF ILLINOIS
IL
Enumeration date
08/30/2006
Last updated
09/19/2012
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