Individual
DR. OMAR SHAMSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S YORK ST, SUITE 1240, ELMHURST, IL 60126-5626
(331) 221-6140
(331) 221-3838
Mailing address
1200 S YORK ST, SUITE 1240, ELMHURST, IL 60126-5626
(331) 221-6140
(331) 221-3838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036125176
IL
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
036125176
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01066903A
INDIANA PROFESSIONAL LICENSING AGENCY MEDICAL LICENSING BOARD
IN
05
—
200967190A
—
IN
Enumeration date
02/09/2008
Last updated
07/15/2024
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