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General NPI Number Information
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NPI Number | 1568778827
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Entity Type | Individual
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Provider Name | SAMAR SUHEIL SHEHAIBER D.C. M.J. CKTP RRT
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Gender | Female
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 845 N LAKE ST STE A
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City | AURORA
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State | IL
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Zip | 60506-3177
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Country | US
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Telephone | 630-844-1244
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Fax |
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Provider Business Mailing Address
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Address Line | 10551 PRINCESS AVE
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-1806
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Country | US
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Telephone | 224-723-9038
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038011713
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License Number State | IL
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