Provider Demographics
NPI:1659947778
Name:BINION-EL, SHARON E (MMP)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:E
Last Name:BINION-EL
Suffix:
Gender:F
Credentials:MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 W 142ND ST
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60827-2249
Mailing Address - Country:US
Mailing Address - Phone:708-880-0393
Mailing Address - Fax:
Practice Address - Street 1:4023 183RD ST
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB HILLS
Practice Address - State:IL
Practice Address - Zip Code:60478-5306
Practice Address - Country:US
Practice Address - Phone:708-799-7855
Practice Address - Fax:708-799-7866
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-29
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.020698225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist