Healthcare Provider Details

I. General information

NPI: 1871914747
Provider Name (Legal Business Name): SHAREEN HURANI D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2013
Last Update Date: 04/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 FOXFIELD RD SUITE 202
ST CHARLES IL
60174-1403
US

IV. Provider business mailing address

2580 FOXFIELD RD SUITE 202
ST CHARLES IL
60174-1403
US

V. Phone/Fax

Practice location:
  • Phone: 630-549-7584
  • Fax: 630-549-7586
Mailing address:
  • Phone: 630-549-7584
  • Fax: 630-549-7586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038012284
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: