Provider Demographics
NPI:1487815775
Name:SBK SURGICAL LTD.
Entity Type:Organization
Organization Name:SBK SURGICAL LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-482-8584
Mailing Address - Street 1:4310 W CRYSTAL LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-4214
Mailing Address - Country:US
Mailing Address - Phone:815-482-8584
Mailing Address - Fax:815-363-3240
Practice Address - Street 1:4310 W CRYSTAL LAKE RD
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4214
Practice Address - Country:US
Practice Address - Phone:815-482-8584
Practice Address - Fax:815-363-3240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric