Individual
SHERI DEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
351 DELNOR DR, GENEVA, IL 60134
(630) 933-4056
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190
(630) 933-4056
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036.131019
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036131019
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400189058
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
04/19/2007
Last updated
06/27/2018
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