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BANSI.D.SHARMA MD SC
NPI 1043549579
Internal Medicine - Cardiovascular Disease in Hazel Crest, IL

Active since December 11, 2009CLIA 14D0709235 · Waiver
17577 KEDZIE AVE, SUITE 109, HAZEL CREST, IL 60429(708) 799-1780(708) 799-4914 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bansi.d.sharma Md Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANSI.D.SHARMA MD SC (NPI 1043549579) is a healthcare organization registered as a cardiovascular disease in Hazel Crest, Illinois and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Bansi Dhar Sharma, President, as its authorized official.

NPPES Registry Identity

NPI1043549579
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBANSI.D.SHARMA MD SC
Location Address17577 KEDZIE AVE, SUITE 109Hazel Crest, IL 60429-2051
Mailing Address17577 Kedzie Ave, Suite 109Hazel Crest, IL 60429-2051 · (708) 799-1780 · Fax (708) 799-4914
Phone(708) 799-1780
Fax(708) 799-4914
Organization SubpartNo
Authorized OfficialBansi Dhar SharmaPresident · (708) 799-1780
Enumeration DateDecember 11, 2009
✔ NPI 1043549579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
17577 KEDZIE AVE, Hazel Crest, IL 60429
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0709235

Bansi D Sharma MD · Hazel Crest, IL
Active · expires Mar 22, 2027
CLIA Number14D0709235
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorBansi D. Sharma MD
Laboratory Phone(708) 799-1780
Laboratory LocationBansi D Sharma MD17577 S Kedzie, Stone Bridge Prof Bldg, Ste 109, Hazel Crest, IL 60429
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BELLUR CHANDRASHEKAR D.D.S
Dentist
17577 KEDZIE AVE, SUITE 106
HAZEL CREST, IL 60429
Cook County (708) 335-3366
THE LINK AND OPTION CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
17577 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 331-8111
DR. PRIMLA K. SHARMA M.D.
Anesthesiology
17577 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 799-1780
DR. BHANOO SHARMA M.D.
Surgery
17577 KEDZIE AVE, SUITE 108
HAZEL CREST, IL 60429
Cook County (773) 359-1275
AT URGENT CARE LTD
Clinic/Center (Urgent Care)
17577 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (847) 920-8181
DOROTHY KUKLINSKI M.A., LPC
Counselor (Professional)
17577 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 250-0520
REESTABLISHING HOPE INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
17577 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (815) 418-6577
AMERICAN THERAPY PROVIDERS LLC.
Clinic/Center (Physical Therapy)
17577 KEDZIE AVE, 201
HAZEL CREST, IL 60429
Cook County (708) 261-3803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bansi.D.Sharma MD Sc's NPI number?

The NPI number for Bansi.D.Sharma MD Sc is 1043549579. It was assigned to this organization in the NPPES registry on December 11, 2009.

Where is Bansi.D.Sharma MD Sc located?

Bansi.D.Sharma MD Sc is located at 17577 Kedzie Ave Suite 109, Hazel Crest, IL 60429. The listed phone number is (708) 799-1780.

What is Bansi.D.Sharma MD Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Bansi.D.Sharma MD Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0709235) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bansi.D.Sharma MD Sc was last updated on December 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.