Provider Demographics
NPI:1851815393
Name:KHURANA, SHARON PINTO (PSYD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:PINTO
Last Name:KHURANA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N MICHIGAN AVE STE 1005
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3750
Mailing Address - Country:US
Mailing Address - Phone:312-998-2826
Mailing Address - Fax:312-380-0261
Practice Address - Street 1:30 N MICHIGAN AVE STE 1005
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3750
Practice Address - Country:US
Practice Address - Phone:312-998-2826
Practice Address - Fax:312-380-0261
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-26
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.009450103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical