Provider Information for 1760022719
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Miss SHERRI L. SALMON LPC
Sex: Female
NPI: 1760022719
Last Updated: 2025-01-09
Certification Date: 2025-01-09
Certification Date: 2025-01-09
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760022719 | ||||||||||||
| Enumeration Date | 2020-01-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 11353 S CHAMPLAIN AVE CHICAGO, IL 60628-5121 United States Phone: 773-243-6017 | Fax: | ||||||||||||
| Primary Practice Address | 10540 S WESTERN AVE CHICAGO, IL 60643-2536 United States Phone: 773-669-4743 | Fax:773-634-7994 | ||||||||||||
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