Provider Demographics
NPI:1871905448
Name:SHARMA, JAMIE RHODES (DO)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:RHODES
Last Name:SHARMA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LYNN
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:737 N MICHIGAN AVE STE 820
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6659
Mailing Address - Country:US
Mailing Address - Phone:312-202-0300
Mailing Address - Fax:312-202-0383
Practice Address - Street 1:2401 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-2011
Practice Address - Country:US
Practice Address - Phone:312-202-0300
Practice Address - Fax:312-202-0383
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.064687390200000X
IL036142559208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program