Individual
KALED SHABOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8603 CENTRAL PARK AVE, SKOKIE, IL 60076-2933
(224) 637-7434
Mailing address
8603 CENTRAL PARK AVE, SKOKIE, IL 60076-2933
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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