Organization
S&S DYNAMIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHEERA KHAN DPM (PODIATRIST)
(847) 650-0728
Entity
Organization
Contact information
Practice address
174 HOLLY ST, BOLINGBROOK, IL 60490-2107
(847) 650-0728
Mailing address
174 HOLLY ST, BOLINGBROOK, IL 60490-2107
(847) 650-0728
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
08/30/2023
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