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Individual

MRS. SHARON DENISE FELLINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
767 PARK AVE WEST SUITE #350, PARK AVE. ASSOCIATES IN INTERNAL MEDICINE, HIGHLAND PARK, IL 60035
(773) 549-7757
Mailing address
767 PARK AVE WEST SUITE #350, PARK AVE. ASSOCIATES IN INTERNAL MEDICINE, HIGHLAND PARK, IL 60035
(847) 926-4445
(847) 681-0994

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001834
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085001834
LICENSE
IL
Enumeration date
03/14/2006
Last updated
05/06/2014
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