Individual
SUSHIL K SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9669 KENTON AVE, SKOKIE, IL 60076-1266
(847) 933-6040
Mailing address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 933-6167
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-049977
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049977
—
IL
01
—
21604578
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/24/2007
Last updated
11/03/2014
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