Individual provider · Type 1 NPI
Steven Abu Shaqra, DOCTOR, PhD
Clinical Laboratory Director (Non-physician) · Chicago, IL
Practice location
South Chicago Lab Suite # 5, 8058 S. Western Ave
Chicago, IL 60620-2402
Mailing address
10215 S 84th Ave
Palos Hills, IL 60465-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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About NPI 1144816356
Steven Abu Shaqra, DOCTOR, PhD's National Provider Identifier is 1144816356, issued on Dec 12, 2020. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Chicago, IL. The record was last updated on May 13, 2021.