Individual
AHMAD SHOUBAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-7910
Mailing address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-7910
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036159392
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/29/2018
Last updated
05/08/2025
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