Individual
SHARON SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 N BELL SCHOOL RD, ROCKFORD, IL 61114
(779) 696-9400
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7285
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036067849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067849
—
IL
Enumeration date
07/21/2006
Last updated
07/27/2018
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