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Individual
DR. GREG EDWARD SHARON
Active
Individual
DR. GREG EDWARD SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036067184
IL
207KA0200X
Allergy Physician
036067184
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
036067184
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280127
UNITED
IL
01
—
0300003362
RAILROAD MEDICARE
IL
05
—
036067184
—
IL
01
—
2215630
BCBS
IL
01
—
363765151
FEIN
IL
01
—
5254328
AETNA
IL
Enumeration date
11/29/2005
Last updated
10/01/2007
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