Individual
KHUSBU SHETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 MCHENRY RD STE 107A, BUFFALO GROVE, IL 60089-1369
(847) 305-1097
Mailing address
703 S JADE LN, ROUND LAKE, IL 60073-8165
(224) 217-0113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
03/17/2023
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