Provider Demographics
NPI:1760291959
Name:SHARMA PSYCHOLOGY PLLC
Entity type:Organization
Organization Name:SHARMA PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:312-955-1212
Mailing Address - Street 1:1487 N CLYBOURN AVE UNIT E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-7218
Mailing Address - Country:US
Mailing Address - Phone:312-955-1212
Mailing Address - Fax:312-955-0447
Practice Address - Street 1:1487 N CLYBOURN AVE UNIT E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-7218
Practice Address - Country:US
Practice Address - Phone:312-955-1212
Practice Address - Fax:312-955-0447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1619933124OtherNPPES
IL071-006710OtherLICENSED CLINICAL PSYCHOLOGIST