Provider Demographics
NPI:1487840112
Name:GOLEBIOWSKI, SHERRI LYN (PT)
Entity type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:LYN
Last Name:GOLEBIOWSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15 COMMERCE DR
Mailing Address - Street 2:SUITE 112
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-7807
Mailing Address - Country:US
Mailing Address - Phone:847-223-0200
Mailing Address - Fax:847-245-8889
Practice Address - Street 1:15 COMMERCE DR
Practice Address - Street 2:SUITE 112
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-7807
Practice Address - Country:US
Practice Address - Phone:847-223-0200
Practice Address - Fax:847-245-8889
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty