Individual
SHARMITA A MISRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1185 - 87 DUNDEE AVE, STE A2 ATTN DUNDEE PROFESSIONAL CENTER, ELGIN, IL 60120-2232
(847) 608-9481
(847) 608-9483
Mailing address
1185-87 DUNDEE AVE, STE A2 ATTN DUNDEE PROFESSIONAL CENTER, ELGIN, IL 60120-2232
(847) 608-9481
(847) 608-9483
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036085278
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
036085278
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085278
—
IL
Enumeration date
08/23/2005
Last updated
01/16/2013
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