Smith, Sharon
Smith, Sharon is an individual health care provider with primary practice located at 18210 La Grange Rd Suite 110, Tinley Park IL 60487-7722. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Smith, Sharon can be contacted via phone (708) 478-2500.Contact Information
Primary practice address
18210 La Grange Rd Suite 110
Tinley Park IL 60487-7722
Phone: (708) 478-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036053032 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20450 | Nevada |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 62289 | Arizona |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036053032 | Illinois |
Profile Details
| NPI number | 1083779698 |
|---|---|
| LBN Legal business name | Smith, Sharon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 11th, 2023 - about last year |
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 | 1083779698 | NPPES |
| Illinois | Other | 930038654 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 03605303202 | RAILROAD MEDICARE |
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