Individual provider · Type 1 NPI
Shahreq Ali Khan, BACHELOR OF SCIENCE
Clinic/Center · Gurnee, IL
NPI number
1811656028
Active
Practice location
3949 Grove Ave
Gurnee, IL 60031-2118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 14D2250825 (IL) |
Clinic/Center: 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).
About NPI 1811656028
Shahreq Ali Khan, BACHELOR OF SCIENCE's National Provider Identifier is 1811656028, issued on Dec 15, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gurnee, IL. The record was last updated on Feb 8, 2022.