Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shahreq Ali Khan, BACHELOROFSCIENCE

Individual provider Clinic/Center · NPI 1811656028

Shahreq Ali Khan, BACHELOROFSCIENCE is a Clinic/Center in Gurnee, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

3949 Grove Ave
Gurnee, IL 60031-2118
Phone: (224) 202-7777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 14D2250825 (IL)

Record details

NPI number1811656028
Entity typeIndividual (Type 1)
GenderMale
Credentials BACHELOROFSCIENCE
Sole proprietorYes
NPI enumeratedDecember 15, 2021
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022

Other providers in Gurnee