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Search › Illinois › 183500000X

Shabana Haider

NPI 1417558685 · on the registry since 2020 · sole proprietor

Practice

Address
5670 Northwest Hwy
Crystal Lake, IL 60014
Phone
(815) 788-9804
Organisation at this address
Sams West Inc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois