# S&S DYNAMIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740970284
- **Authorized official:** DR. SHAHEERA KHAN DPM (PODIATRIST)
- **Authorized official phone:** (847) 650-0728

## Contact information

- **Practice address:** 174 HOLLY ST, BOLINGBROOK, IL 60490-2107
- **Practice address phone:** (847) 650-0728
- **Mailing address:** 174 HOLLY ST, BOLINGBROOK, IL 60490-2107
- **Mailing address phone:** (847) 650-0728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2023
- **Last updated:** 08/30/2023