Organization
THE PULMONARY CLINIC FOR CHILDREN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIRISH SHARMA MD (OWNER / PHYSICIAN)
(630) 527-7325
Entity
Organization
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-7325
Mailing address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-7325
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232208
BCBS
IL
05
—
036092074
—
IL
Enumeration date
05/26/2006
Last updated
12/15/2008
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