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DR. GREG EDWARD SHARON M.D.,

Allergy

Bloomingdale, Illinois

Provider NPI: 1619950250

Provider Information:
DR. GREG EDWARD SHARON M.D.,


Practice Location:
303 E ARMY TRAIL RD STE # 403 BLOOMINGDALE, IL 60108 US
Tel: 630-894-7083  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
IL036067184
N207RA0201XPhysicians
Internal Medicine
IL036067184
Y207K00000XPhysicians
Allergy & Immunology
IL036067184

Other Provider Identifiers:

IssuerNumberStateType
UNITED0280127IL01
RAILROAD MEDICARE0300003362IL01
036067184IL05
FEIN363765151IL01
AETNA5254328IL01
BCBS2215630IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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