Individual
MS. SHERESE R DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1237 W 82ND LANE, MERRILLVILLE, IN 46410
(219) 791-0667
(219) 791-0657
Mailing address
1237 W 82ND LANE, MERRILLVILLE, IN 46410
(219) 791-0667
(219) 791-0657
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000980A
IN
213EP1101X
Primary Podiatric Medicine Podiatrist
07000980A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200281060A
—
IN
Enumeration date
02/19/2006
Last updated
07/29/2013
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