Individual
MS. SHERANN IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FPA
Contact information
Practice address
2259 W TAYLOR ST, CHICAGO, IL 60612-4233
(312) 285-2982
(844) 835-7034
Mailing address
2259 W TAYLOR ST, CHICAGO, IL 60612-4233
(312) 285-2982
(844) 835-7034
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277001228
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467919498
INSURANCE
IL
05
—
1467919498
—
IL
Enumeration date
02/26/2019
Last updated
08/13/2025
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