Individual
SHAHREQ ALI KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
3949 GROVE AVE, GURNEE, IL 60031-2118
(224) 202-7777
Mailing address
3949 GROVE AVE, GURNEE, IL 60031-2118
(224) 202-7777
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
14D2250825
IL
Other
Enumeration date
12/15/2021
Last updated
02/08/2022
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