Provider Demographics
NPI:1033387451
Name:MARK E SHARP PHD PC
Entity Type:Organization
Organization Name:MARK E SHARP PHD PC
Other - Org Name:THE AIKI RELATIONSHIPS INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-230-6358
Mailing Address - Street 1:1010 JORIE BLVD
Mailing Address - Street 2:SUITE 246
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2215
Mailing Address - Country:US
Mailing Address - Phone:630-230-6358
Mailing Address - Fax:630-230-6359
Practice Address - Street 1:1010 JORIE BLVD
Practice Address - Street 2:SUITE 246
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2215
Practice Address - Country:US
Practice Address - Phone:630-230-6358
Practice Address - Fax:630-230-6359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty