Shatat, Tahreer

Shatat, Tahreer is an individual health care provider with primary practice located at 23120 S Lagrange Rd , Frankfort IL 60423-7760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shatat, Tahreer can be contacted via phone (815) 464-5440.

Contact Information

Primary practice address
23120 S Lagrange Rd Frankfort IL 60423-7760
Fax: (815) 936-5404
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036139062 Illinois

Profile Details

NPI number 1245677749
LBN Legal business name Shatat, Tahreer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2013
Last updated Feb 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245677749 NPPES
Illinois MEDICAID 036139062

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