Individual
SANDRA SHAKRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
585 TOLLGATE RD, ELGIN, IL 60123-9323
(847) 462-6099
Mailing address
585 TOLLGATE RD, ELGIN, IL 60123-9323
(847) 462-6099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
043.117094
IL
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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