Individual
MISS EMILY SHERBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 234-5600
Mailing address
680 N LAKE SHORE DRIVE, SUITE 1000, CHICAGO, IL 60611-8709
(312) 695-0665
(312) 695-6594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.003750
IL
363AS0400X
Surgical Physician Assistant
085003750
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1091336
NCCPA
—
Enumeration date
09/09/2010
Last updated
08/17/2017
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