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NPI Code Detail

MEDICARE: MS. SHARON BENTON ANDERSON RN APN

MEDICARE:  MS. SHARON BENTON ANDERSON  RN APN
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
1363LF0000XFamily Nurse Practitioner209-001539IL

General Provider Information

NPI Number : 1942210224
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON BENTON ANDERSON RN APN
Provider Business Mailing Address
First Line : 8131 S MAY ST
Second Line :
City : CHICAGO
State : IL
Zip : 60620-3007
Country : US
Telephone Number : 773-994-3814
Fax Number : 773-994-3915
Provider Business Practice Location Address
First Line : 8131 S MAY ST
Second Line :
City : CHICAGO
State : IL
Zip : 60620-3007
Country : US
Telephone Number : 773-994-3814
Fax Number : 773-994-3915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 01/19/2012

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Directions to “ MS. SHARON BENTON ANDERSON RN APN” Practice Location

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