| NPI | 1568671691 |
|---|---|
| Former Legal Business Name | SHERIDAN MEDICAL CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | OLUMUYIWA IDOWU Medical Director 773-784-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-098784) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 336060802) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-05-03 |