Sharon Kim Black, PSYD is a medicare enrolled "Psychologist" provider in Oak Park, Illinois. Her current practice location is
715 Lake St, Suite 706, Oak Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 991-6375.
Sharon Kim Black is licensed to practice in Illinois (license number 071.009658) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407094915.
Healthcare Provider's Profile
Full Name | Sharon Kim Black |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 715 Lake St, Oak Park, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Sharon Kim Black attended and graduated from in
NPI Data:
- NPI Number: 1407094915
- Provider Enumeration Date: 01/22/2009
- Last Update Date: 11/04/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Sharon Kim Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407094915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 180.004472 (Illinois) | Secondary |
103T00000X | Psychologist | 071.009658 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sharon Kim Black is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sharon Kim Black, PSYD 633 Carpenter Ave, Oak Park, IL 60304-1104 Ph: (773) 991-6375 | Sharon Kim Black, PSYD 715 Lake St, Suite 706, Oak Park, IL 60301-1422 Ph: (773) 991-6375 |
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