Sharif, Sitara B

Sharif, Sitara B is an individual health care provider with primary practice located at 4121 Fairview Ave Ste L1, Ogden Medical Professional Building, Downers Grove IL 60515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sharif, Sitara B can be contacted via phone (630) 968-1700.

Contact Information

Primary practice address
4121 Fairview Ave Ste L1, Ogden Medical Professional Building Downers Grove IL 60515
Phone: (630) 968-1700
Fax: (630) 968-7103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036081807 Illinois

Profile Details

NPI number 1477590735
LBN Legal business name Sharif, Sitara B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Sep 24th, 2012 - about 12 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 1477590735 NPPES
Illinois MEDICAID 036081807
Illinois Other 02228283
Illinois Other 562409669

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