COLTON W SHERELL (NPI# 1588283865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588283865 |
| Entity Type | Individual |
| Full Name | COLTON W SHERELL |
| Credential | CPHT |
| Practice Address |
4025 N Sheridan Rd Chicago IL 60613-2010 |
| Mailing Address |
2620 N Wilton Ave Apt 2 Chicago IL 60614-2784 |
| Practice Telephone | 7735288314 |
| Practice Fax Number | 7735289274 |
| Mailing Telephone | 2177253892 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 049.246474 | IL | Pharmacy Service Providers |
| Street Address |
4025 N SHERIDAN RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346221744 | Joshua Thomas Titus | Pharmacist | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2005-11-11 |
| 1770106965 | Michael E. Fanelli | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2020-05-21 |
| 1528607967 | Rebecca M Grundy | Physician Assistant | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2020-01-02 |
| 1780142919 | Krista Leigh Yank | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2019-03-06 |
| 1659863843 | Angela E'akels | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2018-06-04 |
| 1629574561 | Tiffany Eve Tamasfi | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613 | 2018-03-31 |
| 1184166001 | Josh Lopez | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2016-11-09 |
| 1386008274 | Liza Brockway | Social Worker | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2016-04-07 |
| 1528432994 | Kira Elizabeth Weidner | Psychologist | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2015-11-22 |
| 1518334531 | Heather Orton | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2015-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320947 | David Li | Pharmacy Technician | 2848 S Quinn St Apt A, Chicago, IL 60608-5979 | 2020-09-08 |
| 1922612928 | Valentina Iliescu | Pharmacy Technician | 2440 N Luna Ave, Chicago, IL 60639-1335 | 2020-09-07 |
| 1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
| 1952688111 | Tirrell Antoine Livingston | Pharmacy Technician | 7544 S Stony Island Ave, Chicago, IL 60649-3926 | 2011-11-15 |
| 1245511641 | Sarah Kim Cramer | Pharmacy Technician | 6040 S Harper Ave Apt 903, Chicago, IL 60637-2936 | 2011-08-30 |
| 1952553539 | Kathy Pham Tran | Pharmacy Technician | 920 W Lakeside Pl, Apt 1507, Chicago, IL 60640-5175 | 2008-10-15 |
| 1992328223 | Heather Jensky | Pharmacy Technician | 79 W Monroe St, Chicago, IL 60603-4901 | 2020-05-21 |
| 1154943074 | Diana Nguyen | Pharmacy Technician | 151 N State St, Chicago, IL 60601-3601 | 2020-05-13 |
| 1730733015 | Tanya Abraham | Pharmacy Technician | 201 E Huron St Ste 1-210, Chicago, IL 60611-3578 | 2019-07-25 |
| 1356862171 | Jason Wayne Wu | Pharmacy Technician | 757 N Michigan Ave, Chicago, IL 60611-2606 | 2017-07-01 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.