| Doctor Name: | GENE H SHERMAN |
| NPI Number: | 1053330928 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.D.S. |
| License Number: | 019017893 |
| Business Practice Address: | 275 Stonegate Rd Algonquin, IL - 601025614 |
| Business Phone Number: | 8477643600 |
| Business Fax Number: | 8474831463 |
| Mailing Address: | 275 Stonegate Rd, ALGONQUIN |
| State: | IL |
| Postal Code: | 601025614 |
| Phone Number: | 8477643600 |
| Fax Number: | 8474831463 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 06/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 019017893 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |