Individual
PETULA SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 N CASS AVE, WESTMONT, IL 60559-1503
(630) 968-1800
Mailing address
709 BROUGHAM LN, OAK BROOK, IL 60523-2676
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.010135
IL
Other
Enumeration date
01/17/2013
Last updated
11/19/2024
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