Sherri Lynn Klis Urso, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-104305 Issued in IL

Practice address

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

Phone

(630) 886-7376

Fax

(630) 545-1577

NPI assigned

Jun 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Eastern Virginia Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sherri Klis Urso MD SC

  • Psychiatry Physician
  • Glen Ellyn, IL
  • NPI 1174568828
  Medicare reassignment NPD
• Wellness Clinic LTD

  • Psychiatry Physician
  • Woodridge, IL
  • NPI 1316017635
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1275569584",
    "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": "630-886-7376",
            "fax_number": "630-545-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSO",
        "first_name": "SHERRI",
        "middle_name": "LYNN KLIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036104305",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-104305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trusted Hearts Home Care Services, LLC
• Pawel Tomasz Trybula, PTA
• Jean Marie Tschampa Lopotko, PHARM.D, LCPC, CADC
• Elaine M Turner, CSFA
• Urgent Medical Diagnostic, Inc
• Lauren Vacek, CNP
• Jayshree Vajaria, MD
• Richard Henry Valdez, D.C.
• Kaitlin Elaine Valdick, MS, RDN
• Edward C Valkner, PT, OCS

• 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 Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.