Individual
BRUCE I. SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
840 S WOOD ST, 1347 CSB, MC 856, CHICAGO, IL 60612-4325
(312) 996-6143
(312) 413-9484
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036071482
IL
Other
Enumeration date
08/09/2006
Last updated
01/22/2009
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