Provider Demographics
NPI:1043427933
Name:SHARP, KARA MICHELE (MS)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:MICHELE
Last Name:SHARP
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 S MADISON ST
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-9189
Mailing Address - Country:US
Mailing Address - Phone:708-220-1295
Mailing Address - Fax:
Practice Address - Street 1:3860 W 95TH ST
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2034
Practice Address - Country:US
Practice Address - Phone:708-422-3500
Practice Address - Fax:708-422-3989
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-001076231H00000X
IN23002317A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist