Individual
SHAHBAZ SHAHID NISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6101 S COUNTY LINE RD, BURR RIDGE, IL 60527-8132
(630) 686-9000
(844) 235-2578
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01084868A
IN
207Q00000X
Family Medicine Physician
4301100567
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036-175118
IL
Other
Enumeration date
03/22/2012
Last updated
08/22/2025
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