Individual
SHEIK SHAFIUDEEN MOHAMED MEERASAHIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
260 S SCHMIDT RD STE G, BOLINGBROOK, IL 60440-3087
(630) 754-7760
(630) 754-7761
Mailing address
260 S SCHMIDT RD STE G, BOLINGBROOK, IL 60440-3087
(630) 754-7760
(630) 754-7761
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20-264
WI
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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