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Individual

NICHOLAS RYAN SHERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-3000
Mailing address
5121 MARYLAND WAY, BRENTWOOD, TN 37027-7516
(615) 928-6275

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD043310
DC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
FS6627698
IL

Other

Enumeration date
04/23/2012
Last updated
01/19/2022
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