Sharon, Greg Edward
Sharon, Greg Edward is an individual health care provider with primary practice located at 303 E Army Trail Rd Ste # 403, Bloomingdale IL 60108-2169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Sharon, Greg Edward can be contacted via phone (630) 894-7083.Contact Information
Primary practice address
303 E Army Trail Rd Ste # 403
Bloomingdale IL 60108-2169
Phone: (630) 894-7083
Fax: (630) 894-9472
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 036067184 | Illinois |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 036067184 | Illinois |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 036067184 | Illinois |
Profile Details
NPI number | 1619950250 |
---|---|
LBN Legal business name | Sharon, Greg Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2005 |
Last updated | Oct 1st, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619950250 | NPPES |
Illinois | MEDICAID | 036067184 | |
Illinois | Other | 5254328 | |
Illinois | Other | 0280127 | |
Illinois | Other | 0300003362 | |
Illinois | Other | 363765151 | |
Illinois | Other | 2215630 |
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