Fakhraee, Shahrzad
Fakhraee, Shahrzad is an individual health care provider with primary practice located at 2200 E Washington St , Bloomington IL 61701-4364. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Fakhraee, Shahrzad can be contacted via phone (309) 662-3311.Contact Information
Primary practice address
2200 E Washington St
Bloomington IL 61701-4364
Phone: (309) 662-3311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036181830 | Illinois |
Profile Details
| NPI number | 1841934270 |
|---|---|
| LBN Legal business name | Fakhraee, Shahrzad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2022 |
| Last updated | Aug 20th, 2026 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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