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Individual

STEVEN ABU SHAQRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DOCTOR, PHD

Contact information

Practice address
SOUTH CHICAGO LAB SUITE # 5, 8058 S. WESTERN AVE, CHICAGO, IL 60620-2402
(815) 440-9285
Mailing address
10215 S 84TH AVE, PALOS HILLS, IL 60465-1302
(815) 440-9285

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary

Other

Enumeration date
12/12/2020
Last updated
05/13/2021
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