Doctor Name: | MS. SHERYL CODDINGTON |
NPI Number: | 1376673905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., MSN |
License Number: | |
Business Practice Address: | 1815 S Wolf Rd Hillside, IL - 601622110 |
Business Phone Number: | 7082360979 |
Business Fax Number: | 7082365161 |
Mailing Address: | 630 Forest Ave, OAK PARK |
State: | IL |
Postal Code: | 603021604 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |