Provider Demographics
NPI:1760513725
Name:GREG E SHARON MD SC
Entity Type:Organization
Organization Name:GREG E SHARON MD SC
Other - Org Name:ASTHMA AND ALLERGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-894-7083
Mailing Address - Street 1:303 E ARMY TRAIL RD STE 403
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2155
Mailing Address - Country:US
Mailing Address - Phone:630-894-7083
Mailing Address - Fax:630-894-9472
Practice Address - Street 1:303 E ARMY TRAIL RD STE 403
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2155
Practice Address - Country:US
Practice Address - Phone:630-894-7083
Practice Address - Fax:630-894-9472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2215630OtherBLUE CROSS BLUE SHIELD
IL2426964OtherUNITED AAC ID
IL5254328OtherAETNA
IL0300003362OtherRAILROAD MEDICARE
IL036067184Medicaid
209277Medicare PIN