Individual
GAUTAM SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-4200
(630) 933-4210
Mailing address
1725 S NAPERVILLE RD, SUITE 206, WHEATON, IL 60187-8155
(630) 653-6441
(630) 653-8409
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-106311
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209551
GROUP NUMBER
IL
Enumeration date
04/14/2006
Last updated
12/12/2023
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