Individual
DR. CAROL HAYES-SHARPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1357 W 103RD ST, CHICAGO, IL 60643-2392
(773) 238-0800
(773) 881-7234
Mailing address
7905 CALUMET AVE, MUNSTER, IN 46321-1215
(219) 836-7214
(219) 836-6436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01052316
IN
207QA0505X
Adult Medicine Physician
Primary
036085899
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200265760
—
IN
Enumeration date
05/26/2006
Last updated
12/20/2021
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