Individual
MR. LEON SHERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIANS ASSISTANT
Contact information
Practice address
654 E 47TH ST, CHICAGO, IL 60653-4224
(773) 624-4800
Mailing address
654 E 47TH ST, CHICAGO, IL 60653-4224
(773) 624-4800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085003211
IL
Other
Enumeration date
03/19/2007
Last updated
10/06/2011
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