Organization Active NPI

Sharon Duval MD SC

  • Internal Medicine Physician
  • Elgin, IL
National Provider Identifier
1043512148
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-096320 Issued in IL
Legal business name
SHARON DUVAL MD SC
Practice address
1710 N Randall Rd
Sutie 360
Elgin, IL 60123-9400
Phone
(847) 214-5100
Fax
(847) 214-2964
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sharon L. Duval, M.D.
Title
President
Phone
(847) 214-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036-096320 IL Primary

Addresses

Primary practice location

1710 N Randall Rd
Sutie 360
Elgin, IL 60123-9400

Mailing address

1710 N Randall Rd
Sutie 360
Elgin, IL 60123-9400
Phone (847) 214-5100

Other identifiers 1

IdentifierTypeStateIssuer
036096320MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1043512148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "address_2": "SUTIE 360",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239400",
            "telephone_number": "847-214-5100",
            "fax_number": "847-214-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "address_2": "SUTIE 360",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239400",
            "telephone_number": "847-214-5100",
            "fax_number": "847-214-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON DUVAL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-214-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-096320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096320",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.