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NPI Code Detail

MEDICARE: SHABBIR A KANJI MD

MEDICARE: SHABBIR A KANJI MD
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
1207L00000XAnesthesiology Physician036103704IL
2207P00000XEmergency Medicine Physician036103704IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00186234OTHERILRAILROAD MEDICARE

General Provider Information

NPI Number : 1649224973
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHABBIR A KANJI MD
Provider Business Mailing Address
First Line : PO BOX 98
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-0098
Country : US
Telephone Number : 616-975-1854
Fax Number :
Provider Business Practice Location Address
First Line : 450 W HIGHWAY 22
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-1919
Country : US
Telephone Number : 847-842-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 12/30/2022

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Directions to “ SHABBIR A KANJI MD” Practice Location

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