| Doctor Name: | DR. BIPIN SHARMA |
| NPI Number: | 1053751719 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D, L.C.P.C. |
| License Number: | 180008696 |
| Business Practice Address: | 17577 Kedzie Ave Hazel Crest, IL - 604292051 |
| Business Phone Number: | 7082500520 |
| Business Fax Number: | |
| Mailing Address: | 17577 Kedzie Ave, HAZEL CREST |
| State: | IL |
| Postal Code: | 604292051 |
| Phone Number: | 7082500520 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2013 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180008696 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |