Individual
SHARRON GINGRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 GOOD SAMARITAN WAY STE 405, MOUNT VERNON, IL 62864-2478
(618) 899-4000
Mailing address
1660 FEEHANVILLE DR STE 200, MOUNT PROSPECT, IL 60056-6036
(847) 823-3185
(847) 823-3318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008873
IL
Other
Enumeration date
09/19/2005
Last updated
10/20/2020
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