Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | IL |
NPI | 1013122126 |
---|---|
Provider Name | Mrs. Sharon Ann Karel |
First Address | Naperville, IL 60565-3355 |
Second Address | Downers Grove, IL 60516-3493 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/07/2007 |