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Individual
JASON E. SHARP
Active
Individual
JASON E. SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-114538
IL
207Q00000X
Family Medicine Physician
Primary
036-114538
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-114538
STATE MEDICAL LICENSE
IL
Enumeration date
06/28/2006
Last updated
08/15/2013
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