Basic Information
Provider Information
NPI: 1821331067
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CONTE
FirstName: SHARON
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DEPT 3298
Address2:  
City: CAROL STREAM
State: IL
PostalCode: 601323298
CountryCode: US
TelephoneNumber: 5614788770
FaxNumber: 5615987231
Practice Location
Address1: 320 LILLINGTON AVE
Address2: SUITE 101
City: CHARLOTTE
State: NC
PostalCode: 282043188
CountryCode: US
TelephoneNumber: 7043321574
FaxNumber: 7043323275
Other Information
ProviderEnumerationDate: 04/05/2013
LastUpdateDate: 04/05/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237700000X721A01NCY Speech, Language and Hearing Service ProvidersHearing Instrument Specialist 

No ID Information.


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