Individual
DR. GREG EDWARD SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
303 E ARMY TRAIL RD, STE # 403, BLOOMINGDALE, IL 60108-2169
(630) 894-7083
(630) 894-9472
Mailing address
303 E ARMY TRAIL RD, STE # 403, BLOOMINGDALE, IL 60108-2169
(630) 894-7083
(630) 894-9472
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036067184
IL
207KA0200X
Allergy Physician
036067184
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
036067184
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280127
UNITED
IL
01
—
0300003362
RAILROAD MEDICARE
IL
05
—
036067184
—
IL
01
—
2215630
BCBS
IL
01
—
363765151
FEIN
IL
01
—
5254328
AETNA
IL
Enumeration date
11/29/2005
Last updated
10/01/2007
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