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NPI 1124850896

IndividualActive

Ilan Shahar

NPI 1124850896 · Contractor · Long Grove, IL

Provider details

NPI number: 1124850896
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Male
Sole proprietor: Yes
License: TGC110359 (IL)

Practice location

2369 Checker Rd

Long Grove, IL 60047-5133

Phone: (847) 769-4441

More IL providers

Mailing address

2369 Checker Rd

Long Grove, IL 60047-5133

Registry dates

Enumerated: 2024-08-20
Last updated: 2024-08-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ilan Shahar — NPI 1124850896, Long Grove, IL | NPI Central