Steven Abu Shaqra, Doctor, PHD
Pathology, Clinical Laboratory Director, Non-physician in Chicago, IL. Individual provider (NPI-1).
NPI number1144816356
StatusActive
Last updated in NPPESMay 13, 2021
Details
- NPI
- 1144816356
- Entity type
- Individual (NPI-1)
- Name
- Steven Abu Shaqra
- Credential
- Doctor, PHD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2020
- Certification date
- Jan 18, 2021
- Last updated
- May 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | – | – | Yes |
Practice location
South Chicago Lab Suite # 58058 S. Western Ave
Chicago, IL 60620-2402
Phone 815-440-9285
Mailing address
10215 S 84th AvePalos Hills, IL 60465-1302
Phone 815-440-9285
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