Individual
DR. BANSI D. SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17577 SOUTH KEDZIE AVE, SUITE 109, HAZEL CREST, IL 60429
(708) 799-1780
(708) 957-5150
Mailing address
17577 SOUTH KEDZIE AVE, SUITE 109, HAZEL CREST, IL 60429
(708) 799-1780
(708) 957-5150
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036051949
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051949
—
IL
Enumeration date
05/19/2006
Last updated
11/22/2013
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