Individual
SHARON FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
908 N ELM ST, STE 202, HINSDALE, IL 60521-3635
(630) 286-5050
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036111111
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111111
—
IL
Enumeration date
02/20/2006
Last updated
01/20/2011
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