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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083779698 NPPES
Illinois Other 930038654 RAILROAD MEDICARE
Illinois MEDICAID 03605303202 RAILROAD MEDICARE

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