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General NPI Number Information
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NPI Number | 1568622744
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Entity Type | Individual
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Provider Name | SHEHWAR KHAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 8530 MAJOR AVENUE
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City | MORTON GROVE
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State | IL
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Zip | 60053-3141
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Country | US
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Telephone | 312-933-1047
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Fax |
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Provider Business Mailing Address
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Address Line | 8530 MAJOR AVENUE
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City | MORTON GROVE
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State | IL
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Zip | 60053-3141
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Country | US
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Telephone | 312-933-1047
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036.120243
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 036120243
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C172872
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License Number State | CA
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