Organization
WELL BABY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMITA A MISRA M.D. (PHYSICIAN, OWNER)
(847) 608-9481
Entity
Organization
Contact information
Practice address
1185-87 DUNDEE AVENUE, SUITE A-2, ELGIN, IL 60120
(847) 608-9481
(847) 608-9483
Mailing address
1185-87 DUNDEE AVENUE, SUITE A-2, ELGIN, IL 60120
(847) 608-9481
(847) 608-9483
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-085278
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
036-085278
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-085278
—
IL
Enumeration date
01/22/2013
Last updated
01/22/2013
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