Provider Demographics
NPI:1336127067
Name:SHARLIN, STEVEN N (DPM)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:N
Last Name:SHARLIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 HOLLISTER DR STE 109
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-5265
Mailing Address - Country:US
Mailing Address - Phone:847-362-8848
Mailing Address - Fax:847-362-8860
Practice Address - Street 1:1800 HOLLISTER DR STE 109
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-5265
Practice Address - Country:US
Practice Address - Phone:847-362-8848
Practice Address - Fax:847-362-8860
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016004103213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016004103Medicaid
ILK24162Medicare PIN
ILP00436778Medicare PIN
ILT38549Medicare UPIN