Provider Demographics
NPI:1649569534
Name:DECARIA, SHEETAL K (MD)
Entity type:Individual
Prefix:
First Name:SHEETAL
Middle Name:K
Last Name:DECARIA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2550 COMPASS RD UNIT AB
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1610
Mailing Address - Country:US
Mailing Address - Phone:847-834-4018
Mailing Address - Fax:847-834-4018
Practice Address - Street 1:2550 COMPASS RD UNIT AB
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1610
Practice Address - Country:US
Practice Address - Phone:847-834-4018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036126645207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine