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NPI Code Detail

MEDICARE: JYOTSANA SHARMA M.D.

MEDICARE:   JYOTSANA  SHARMA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianIL

General Provider Information

NPI Number : 1750426847
Entity Type Code : Individual
Provider Name (Legal Business Name) : JYOTSANA SHARMA M.D.
Provider Business Mailing Address
First Line : 6320 WEST 159TH STREET
Second Line : SUITE C
City : OAK FOREST
State : IL
Zip : 60452-2780
Country : US
Telephone Number : 708-429-2777
Fax Number : 708-429-2780
Provider Business Practice Location Address
First Line : 6320 WEST 159TH STREET
Second Line : SUITE C
City : OAK FOREST
State : IL
Zip : 60452-2780
Country : US
Telephone Number : 708-429-2777
Fax Number : 708-429-2780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 07/08/2007

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Directions to “ JYOTSANA SHARMA M.D.” Practice Location

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