Individual
MS. BHAVNA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
1632 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
(847) 618-2500
(847) 253-8474
Mailing address
1632 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
(847) 618-2500
(847) 253-8474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-377098
IL
363L00000X
Nurse Practitioner
Primary
209016150
IL
363LF0000X
Family Nurse Practitioner
209-016150
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720371669
GROUP NPI
IL
01
—
209016150
STATE LICENSE
IL
01
—
IL6304
GROUP MEDICARE PTAN
IL
01
—
IL6305
GROUP MEDICARE PTAN
IL
Enumeration date
09/13/2017
Last updated
06/06/2022
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