Individual
DR. SHARA L KRONMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
5548 S KENWOOD AVE, REAR COACH HOUSE, CHICAGO, IL 60637-1714
(773) 684-8250
(773) 943-6368
Mailing address
5548 S KENWOOD AVE, CHICAGO, IL 60637-1714
(773) 684-8250
(773) 943-6368
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036093149
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036093149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001632932
BLUE CROSS BLUE SHIELD
IL
05
—
036093149
—
IL
Enumeration date
06/12/2006
Last updated
08/13/2014
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