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Individual

SHABBIR A KANJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
450 W HIGHWAY 22, BARRINGTON, IL 60010-1919
(847) 842-4444
Mailing address
PO BOX 98, BARRINGTON, IL 60010-0098
(616) 975-1854

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036103704
IL
207P00000X
Emergency Medicine Physician
Primary
036103704
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00186234
RAILROAD MEDICARE
IL
Enumeration date
05/20/2006
Last updated
12/30/2022
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