SHAHREQ ALI KHAN

GURNEE, IL
NPI1811656028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261Q00000X Clinic/Center
(Licence: IL  14D2250825)
Enumeration Date2021-12-15
Last Update Date2022-02-08
Business Address
SHAHREQ ALI KHAN BACHELOR OF SCIENCE
3949 GROVE AVE
GURNEE, IL 60031-2118
Phone number: 224-202-7777
Mailing Address
SHAHREQ ALI KHAN BACHELOR OF SCIENCE
3949 GROVE AVE
GURNEE, IL 60031-2118
Phone number: 224-202-7777
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