Individual
FAOUR ALSHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7346 SHILLINGTON DR, ROCKFORD, IL 61107-2792
(864) 542-4495
Mailing address
7346 SHILLINGTON DR, ROCKFORD, IL 61107-2792
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
041509622
IL
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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