person
Shahreq Ali Khan, BACHELOROFSCIENCE
Clinic/Center in Gurnee, Illinois
NPI 1811656028

Shahreq Ali Khan is a Clinic/Center based in Gurnee, IL. Shahreq Ali Khan practices in Gurnee, IL and has the professional credentials of BACHELOROFSCIENCE. The NPI Number for Shahreq Ali Khan is 1811656028 and holds a License No. 14D2250825 (Illinois).

The current practice location address for Shahreq Ali Khan is 3949 Grove Ave, Gurnee, IL and can be reached out via phone at 224-202-7777.

Location: 3949 Grove Ave, Gurnee, IL, 60031-2118
person
Provider Profile Details
NPI Number
1811656028
Provider Name
Shahreq Ali Khan
Credential
BACHELOROFSCIENCE
Provider Entity Type
Individual
Gender
Male
Address
3949 Grove Ave, Gurnee, IL, 60031-2118
Phone Number
224-202-7777
Fax Number
Provider Enumeration Date
12/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3949 Grove Ave
City
State
Zip
60031-2118
Phone Number
224-202-7777
Fax Number
person
Provider Business Mailing Address Details
Address
3949 Grove Ave
City
State
Zip
60031-2118
Phone Number
224-202-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
14D2250825 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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