Individual
RAHUL SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 E BUTTERFIELD RD # 297, ELMHURST, IL 60126-5103
(708) 795-0100
Mailing address
PO BOX 745, ELMHURST, IL 60126-0745
(708) 795-0100
(708) 795-0101
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-118186
IL
225400000X
Rehabilitation Practitioner
125048774
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125048774
IL LICENSE
IL
Enumeration date
06/18/2007
Last updated
09/20/2019
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