Organization
GURNEE STONE MEDICAL CENTER P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH SHARMA M.D (MANAGER)
(847) 856-7615
Entity
Organization
Contact information
Practice address
7505 GRAND AVE, GURNEE, IL 60031-1551
(847) 856-7615
Mailing address
7505 W. GRAND AVE, GURNEE, IL 60031
(847) 856-7615
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65986329
PC ID
IL
Enumeration date
02/28/2008
Last updated
02/28/2008
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