NPIMap

Organization Active NPI

Sherman Physician Group, Inc

  • Family Medicine Physician
  • Hampshire, IL
National Provider Identifier
1104050038
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHERMAN PHYSICIAN GROUP, INC
Practice address
1000 S State St
Hampshire, IL 60140-9688
Phone
(847) 683-7543
Fax
(847) 683-7537
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Utech
Title
Office Administrator
Phone
(224) 783-5196

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IL Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X IL

Addresses

Primary practice location

1000 S State St
Hampshire, IL 60140-9688

Mailing address

PO Box 1509
Elgin, IL 60121-1509
Phone (224) 238-4160

Other identifiers 1

IdentifierTypeStateIssuer
05632414OtherILBCBS GROUP

National Provider Directory

National Provider Directory

Locations

1054 Norwood Ln
Bartlett, IL 60103
Phone (630) 213-3232

1000 S State St
Hampshire, IL 60140
Phone (847) 683-7543

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1104050038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601211509",
            "telephone_number": "224-238-4160",
            "fax_number": "847-783-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S STATE ST",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601409688",
            "telephone_number": "847-683-7543",
            "fax_number": "847-683-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN PHYSICIAN GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "UTECH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "224-783-5196"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "05632414",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.