Sharon Denise Fellingham in Highland Park - Physician Assistant
Sharon Denise Fellingham - NPI 1811965973
Sharon Denise Fellingham is a Physician Assistant in Highland Park, Illinois. Sharon Denise Fellingham practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sharon Denise Fellingham is 1811965973. The last update date is 2014-05-06.
Sharon Denise Fellingham's current location address is 767 Park Ave West Suite #350, Highland Park, Illinois. You can contact this provider via phone number 8479264445 and fax number 8476810994. The mailing address for Sharon Denise Fellingham is 767 Park Ave West Suite #350, Highland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon Denise Fellingham |
|---|---|
| Address | 767 Park Ave West Suite #350, Highland Park, Illinois |
| Phone Number | 8479264445 |
| Fax Number | 8476810994 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1811965973 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2014-05-06 |
Provider Mailing Address Detail
| Address | 767 Park Ave West Suite #350 |
|---|---|
| City | Highland Park |
| State | Illinois (IL) |
| Post Code | 60035 |
| Phone Number | 8479264445 |
| Fax Number | 8476810994 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85001834 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85001834 | IL | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Sharon Denise Fellingham by the Centers for Medicare & Medicaid Services?
The Sharon Denise Fellingham has been assigned the NPI (National Provider Identifier) 1811965973. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Sharon Denise Fellingham is physically located?
The Sharon Denise Fellingham is situated at the following address: 767 Park Ave West Suite #350, Highland Park, IL 60035.
Could you please share the complete physical location address where Sharon Denise Fellingham's facilities are situated?
The facilities of Sharon Denise Fellingham are physically located at the following address: 767 Park Ave West Suite #350, Highland Park, IL, 60035.
On what date did the Sharon Denise Fellingham receive the assignment of its 1811965973 from the Centers for Medicare & Medicaid Services?
The Sharon Denise Fellingham was issued its 1811965973 by the Centers for Medicare & Medicaid Services on 2006-03-14.
As of what date was the information pertaining to Sharon Denise Fellingham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sharon Denise Fellingham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-05-06.