Individual
IMRAN NISAR SHAIKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(847) 630-7860
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
(847) 630-7860
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036091258
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232933
BC BS OF IL
IL
05
—
036091258
—
IL
Enumeration date
11/27/2006
Last updated
10/25/2016
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