Sherri Klis Urso MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-104305 Issued in IL

Legal business name

SHERRI KLIS URSO MD SC

Practice address

799 Roosevelt Rd Ste 4-314
Glen Ellyn, IL 60137-5909

Phone

(630) 545-1477

Fax

(630) 545-1577

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Sherri Klis-Urso, MD

Title

President

Phone

(630) 886-7376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Sherri Lynn Klis Urso, MD

  • Psychiatry Physician
  • Glen Ellyn, IL
  • NPI 1275569584
  Medicare reassignment NPD

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1174568828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD STE 4-314",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375909",
            "telephone_number": "630-886-7376",
            "fax_number": "630-545-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD STE 4-314",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375909",
            "telephone_number": "630-545-1477",
            "fax_number": "630-545-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRI KLIS URSO MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "KLIS-URSO",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-886-7376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-104305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sczepanik, ATC
• Renee Catherine Seaney
• Natalia Serrano, CFNC, FNLP
• Francesca Anna Severyns, RDN
• Ojas Shah, MD
• Elizabeth M Showalter, NP
• Melissa Jensen Siavelis, M.S.
• Steven Sigalove, MD
• Martin J Sikorski, O.D.
• Dale E Simek, R.PH.

• Psychiatry Physician in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.