Organization
MRS INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY SHARMA D.O. (OWNER)
(312) 266-8565
Entity
Organization
Contact information
Practice address
3S630 GLEN DR S, WARRENVILLE, IL 60555-3506
(248) 872-6963
Mailing address
3S630 GLEN DR S, WARRENVILLE, IL 60555-3506
(248) 872-6963
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036112797
IL
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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