Individual
SHIPRA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
500 E 51ST ST, CHICAGO, IL 60615-2400
(312) 572-2781
Mailing address
500 E 51ST ST, CHICAGO, IL 60615-2400
(312) 572-2781
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.144248
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2013
Last updated
04/30/2021
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