Organization
GPR SOLUTIONS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAUTAM SHARMA M.D. (PSYCHIATRIST)
(630) 995-9142
Entity
Organization
Contact information
Practice address
554 BOVIDAE CIR, NAPERVILLE, IL 60565-6184
(630) 995-9142
Mailing address
554 BOVIDAE CIR, NAPERVILLE, IL 60565-6184
(630) 995-9142
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
036-106311
IL
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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