Faour Alshare
Nurse Practitioner, Gerontology in Rockford, IL. Individual provider (NPI-1).
NPI number1063374080
StatusActive
Last updated in NPPESNov 28, 2025
Details
- NPI
- 1063374080
- Entity type
- Individual (NPI-1)
- Name
- Faour Alshare
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2025
- Certification date
- Nov 28, 2025
- Last updated
- Nov 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 041509622 | IL | Yes |
Practice location
7346 Shillington DrRockford, IL 61107-2792
Phone 864-542-4495
Mailing address
7346 Shillington DrRockford, IL 61107-2792
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