MEDICARE: DR. SAMAR SUHEIL SHEHAIBER D.C. M.J. CKTP RRT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038011713	IL

General Provider Information

NPI Number	:	1568778827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMAR SUHEIL SHEHAIBER D.C. M.J. CKTP RRT

Provider Business Mailing Address
First Line	:	10551 PRINCESS AVE
Second Line	:
City	:	CHICAGO RIDGE
State	:	IL
Zip	:	60415-1806
Country	:	US
Telephone Number	:	224-723-9038
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 N LAKE ST STE A
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-3177
Country	:	US
Telephone Number	:	630-844-1244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2010
Last Update Date	:	06/23/2025

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