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Individual

ANDREI SHARAPOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPT., 2233 W. DIVISION STREET, CHICAGO, IL 60622
(312) 770-2000
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036108572
IL

Other

Enumeration date
06/09/2006
Last updated
11/27/2023
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