Sher Institute for Reproductive Medicine Central Illinois PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA05747100 Issued in IL

Legal business name

SHER INSTITUTE FOR REPRODUCTIVE MEDICINE CENTRAL ILLINOIS PC

Practice address

5401 N Knoxville Ave
Suite 110
Peoria, IL 61614-5098

Phone

(309) 389-0411

Fax

(309) 689-0784

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Milton McNichol, MD

Title

Doctor

Phone

(309) 389-0411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1942411491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 S RAINBOW BLVD",
            "address_2": "SUITE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-794-0073",
            "fax_number": "702-696-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 110",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-389-0411",
            "fax_number": "309-689-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHER INSTITUTE FOR REPRODUCTIVE MEDICINE CENTRAL ILLINOIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "MCNICHOL",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "309-389-0411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "25MA05747100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel T Sheen, MA
• Sheepdogs Care Inc (Synergy Homecare)
• Maureen Shekleton, RPH
• Michael F. Shekleton
• Donald Joe Sheller, DPM
• Nicolle Danielle Sherwood
• Aliaa Shetaya
• Suraj Sheth, MD, PHD
• Emily Shi
• Jennifer Rebecca Shibley, PSY.D., M.S.

• Obstetrics & Gynecology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.