Organization
NORTHWEST NEUROLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD SHERMAN M.D. (PRESIDENT)
(847) 882-6604
Entity
Organization
Contact information
Practice address
22285 N PEPPER RD, SUITE 401, LAKE BARRINGTON, IL 60010-2538
(847) 882-6604
(847) 882-6228
Mailing address
22285 N PEPPER RD, SUITE 401, LAKE BARRINGTON, IL 60010-2538
(847) 882-6604
(847) 882-6228
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
042005757
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
698600
MEDICARE PTAN
IL
Enumeration date
06/21/2006
Last updated
06/22/2015
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