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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAHREQ ALI KHAN, BACHELOR OF SCIENCE

Active Sole Proprietor

SHAHREQ ALI KHAN, BACHELOR OF SCIENCE is a Clinic/Center healthcare provider located in GURNEE, Illinois. NPI 1811656028 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · GURNEE, IL

Registration Details

NPI Number
1811656028
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2021 (4.6802036552211 yrs)
Last Updated
Feb 8, 2022
License
14D2250825 (IL)
Sole Proprietor
Yes

Practice Information

Address
3949 GROVE AVE
GURNEE, IL, 600312118
Browse IL providers · Browse ZIP 60031
Phone
2242027777
Primary Specialty
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.