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Search › Illinois › 207QG0300X

Shahbaz Nisar, MD

NPI 1659647717 · on the registry since 2012

Practice

Address
6101 S County Line Rd
Burr Ridge, IL 60527
Phone
(630) 686-9000
Fax
(844) 235-2578
Organisation at this address
Dpt Sport Pc
King-Bruwaert House
K-B Nursing At Home
Midwest Geriatrics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Additional practice sites

  • 4940 W Clark Rd, Ypsilanti, MI
  • 10215 Broadway Fl 1, Crown Point, IN

Registry record

Primary taxonomy
207QG0300X
207QG0300X
Also registered as
207Q00000X
207Q00000X
Licence states on file
IN, MI, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-22

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