Individual
SHAKEEL SHER KHAN SANDOZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 S FIFTH STREET, WATSEKA, IL 60970
(815) 432-3805
(815) 432-3955
Mailing address
625 S FIFTH STREET, WATSEKA, IL 60970
(815) 432-3805
(815) 432-3955
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036087004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0360870041
ILLINOIUS PUBLIC AID
IL
05
—
200509430A
—
IN
Enumeration date
12/05/2006
Last updated
03/18/2024
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