Kerry V Sheehan, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036117980 Issued in IL

Practice address

6840 S. Main Street
Suite 201
Downers Grove, IL 60516-3493

Phone

(630) 852-4551

Fax

(630) 852-0131

NPI assigned

Apr 29, 2008

Last updated

Nov 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Downers Grove Pediatrics LTD

  • Pediatrics Physician
  • Downers Grove, IL
  • NPI 1912930769
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1770758807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 S. MAIN STREET",
            "address_2": "SUITE 201",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163493",
            "telephone_number": "630-852-4551",
            "fax_number": "630-852-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 S. MAIN STREET",
            "address_2": "SUITE 201",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163493",
            "telephone_number": "630-852-4551",
            "fax_number": "630-852-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "KERRY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036117980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117980",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arjun Sharma
• Sharon Boris, LCSW LLC
• Danielle Shaw
• Jennifer Ann Shea, LCSW, MSW
• Karen S Sheehan, SPEECH THERAPIST
• Kim M Sheehan, PTA
• Elizabeth Shelus, O.D.
• Tsungyao Robert Sheng, D.C.
• Sherif Albert DDS, PC (Esplanade Dental Care)
• Shannon K Sherman

• Pediatrics Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.