Provider Demographics
NPI:1396739280
Name:SHARPLESS, SONYA M (MD)
Entity type:Individual
Prefix:DR
First Name:SONYA
Middle Name:M
Last Name:SHARPLESS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1025 EVERETT RD
Mailing Address - Street 2:STE 2
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1659
Mailing Address - Country:US
Mailing Address - Phone:847-735-0067
Mailing Address - Fax:847-735-1398
Practice Address - Street 1:660 N WESTMORELAND RD STE 303
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1659
Practice Address - Country:US
Practice Address - Phone:847-735-0067
Practice Address - Fax:847-735-1398
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2014-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-0908992086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G79570Medicare UPIN