Individual
SHEIKH LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 N ROCKTON AVE, PSYCHIATRY DEPT, ROCKFORD, IL 61103-3655
(815) 971-5000
(815) 968-9677
Mailing address
2400 N ROCKTON AVE, PSYCHIATRY DEPT, ROCKFORD, IL 61103-3655
(815) 971-5000
(815) 968-9677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.116412
IL
2084P0800X
Psychiatry Physician
Primary
036116412
IL
2084P0800X
Psychiatry Physician
T8715
TX
208M00000X
Hospitalist Physician
036.116412
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444636101
—
TX
05
—
87887347
—
CO
Enumeration date
05/15/2007
Last updated
11/05/2024
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