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Individual

ROBERT SHARPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S FIRST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033
Mailing address
2160 S FIRST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2022028426
MO
2084P0800X
Psychiatry Physician
Primary
36073634
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36073634
IL
Enumeration date
03/01/2006
Last updated
08/16/2022
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