Individual
PRUTHVI SHARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 E ARMY TRAIL RD STE 200, BLOOMINGDALE, IL 60108-2143
(630) 351-2030
(630) 351-3983
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-159490
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036159490001
—
IL
Enumeration date
03/28/2018
Last updated
08/22/2023
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