Kronmal, Shara L

Kronmal, Shara L is an sole proprietor health care provider with primary practice located at 5548 S Kenwood Ave Rear Coach House, Chicago IL 60637-1714. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Kronmal, Shara L can be contacted via phone (773) 684-8250.

Contact Information

Primary practice address
5548 S Kenwood Ave Rear Coach House Chicago IL 60637-1714
Phone: (773) 684-8250
Fax: (773) 943-6368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036093149 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036093149 Illinois

Profile Details

NPI number 1407898703
LBN Legal business name Kronmal, Shara L
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Aug 13th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407898703 NPPES
Illinois Other 0001632932 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036093149 BLUE CROSS BLUE SHIELD

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