SHAHREQ ALI KHAN BACHELOR OF SCIENCE
NPI 1811656028
Clinic/Center in Gurnee, IL

Q: What is Shahreq Khan's NPI number?

The NPI number for Shahreq Khan is 1811656028. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Q: What is Shahreq Khan's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shahreq Khan was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2021

3949 GROVE AVE, GURNEE, IL 60031(224) 202-7777 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 8, 2022, Dec 15, 2021 (2 updates tracked since 2021).

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About Shahreq Ali Khan Bachelor Of Science NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAHREQ ALI KHAN BACHELOR OF SCIENCE (NPI 1811656028) is an individual clinic/center provider in Gurnee, Illinois, licensed in Illinois (14D2250825) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1811656028

Entity TypeIndividualMale

Primary Taxonomy261Q00000X

Provider Legal NameSHAHREQ ALI KHANCredential: BACHELOR OF SCIENCE

Location Address3949 GROVE AVEGurnee, IL 60031-2118

Mailing Address3949 Grove AveGurnee, IL 60031-2118 · (224) 202-7777

Phone(224) 202-7777

Sole ProprietorYes

Enumeration DateDecember 15, 2021

Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2022

✔ NPI 1811656028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in IL · 14D2250825

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3949 GROVE AVE, Gurnee, IL 60031

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shahreq Khan's NPI number?

The NPI number for Shahreq Khan is 1811656028. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Shahreq Khan located?

Shahreq Khan practices at 3949 Grove Ave, Gurnee, IL 60031. The listed phone number is (224) 202-7777.

What is Shahreq Khan's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Shahreq Khan was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.