Fellingham, Sharon Denise

Fellingham, Sharon Denise is an sole proprietor health care provider with primary practice located at 767 Park Ave West Suite #350 Park Ave. Associates In Internal Medicine, Highland Park IL 60035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fellingham, Sharon Denise can be contacted via phone (773) 549-7757.

Contact Information

Primary practice address
767 Park Ave West Suite #350 Park Ave. Associates In Internal Medicine Highland Park IL 60035
Phone: (773) 549-7757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001834 Illinois

Profile Details

NPI number 1811965973
LBN Legal business name Fellingham, Sharon Denise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated May 6th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811965973 NPPES
Illinois Other 085001834 LICENSE

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