Individual
SUMAR ABUSHAQRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 802-2100
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-3172
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
14723-033
WI
363LF0000X
Family Nurse Practitioner
Primary
209.013305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002666833
—
WI
Enumeration date
09/29/2015
Last updated
02/24/2026
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