MEDICARE: DR. SHARON E. DEVITA DN

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
1	174400000X	Specialist	181-000212	IL
2	174400000X	Specialist	181000212	IL
3	172P00000X	Naprapath	181000212	IL

General Provider Information

NPI Number	:	1760599542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON E. DEVITA DN

Provider Business Mailing Address
First Line	:	735 W 35TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616
Country	:	US
Telephone Number	:	773-254-8977
Fax Number	:	773-254-8944

Provider Business Practice Location Address
First Line	:	735 W 35TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616
Country	:	US
Telephone Number	:	773-254-8977
Fax Number	:	773-254-8944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	11/29/2017

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