Individual
MRS. SHARON MICHELE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15620 SOUTH WOOD STREET, HARVEY, IL 60426-4171
(708) 333-3030
(708) 333-6060
Mailing address
PO BOX 4685, CHICAGO, IL 60680-4685
(708) 333-3030
(708) 333-6060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036100768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630253
BLUE CROSS BLUE SHIELD
IL
05
—
036100768
—
IL
01
—
212568
GROUP PIN NUMBER
IL
01
—
364385192
TAX ID
IL
Enumeration date
07/28/2006
Last updated
11/03/2014
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