Individual
MR. ARIF AHMED SHAMIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 S. HENNEPIN AVENUE, DIXON, IL 61021
(815) 285-8520
(815) 285-8903
Mailing address
102 S. HENNEPIN AVENUE, DIXON, IL 61021
(815) 285-8520
(815) 285-8903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125083037
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2023
Last updated
09/11/2024
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