Individual
DR. SHARONA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1423 CHICAGO RD, CHICAGO HEIGHTS, IL 60411-3400
(708) 756-1000
Mailing address
555 W COURT ST, KANKAKEE, IL 60901-3675
(888) 828-3192
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-114003
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114003
—
IL
01
—
4622394
BLUE CROSS
—
Enumeration date
06/10/2006
Last updated
04/09/2009
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