PHILIP H SHERIDAN JR SC

EVANSTON, IL
NPI1992980627
Entity TypeOrganization
Authorized ContactPHILIP H SHERIDAN
President
847-774-7836
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL  036079226)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IL  036079226)
Enumeration Date2007-12-31
Last Update Date2008-08-29
Business Address
PHILIP H SHERIDAN JR SC
2650 RIDGE AVE
EVANSTON, IL 60201-1718
Phone number: 847-657-1960
Mailing Address
PHILIP H SHERIDAN JR SC
PO BOX 616
FOREST PARK, IL 60130-0616
Phone number: 708-366-7177