Healthcare Provider Details

I. General information

NPI: 1346354099
Provider Name (Legal Business Name): VRITTI SHARMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 S BARTLETT RD STE C
STREAMWOOD IL
60107-2418
US

IV. Provider business mailing address

305 S BARTLETT RD STE C
STREAMWOOD IL
60107-2418
US

V. Phone/Fax

Practice location:
  • Phone: 630-372-1000
  • Fax: 630-372-6050
Mailing address:
  • Phone: 630-372-1000
  • Fax: 630-372-6050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: