IndividualActive
Faour Alshare
NPI 1063374080 · Gerontology Nurse Practitioner · Rockford, IL
Provider details
- NPI number
- 1063374080
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 041509622 (IL)
Mailing address
7346 Shillington Dr
Rockford, IL 61107-2792
Registry dates
- Enumerated
- 2025-11-28
- Last updated
- 2025-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.