Individual
MR. MOHAMMAD SAMEER SHAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
812 CAMPUS DR, JOLIET, IL 60435-5128
(815) 741-6830
(815) 741-6832
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036102569
IL
207R00000X
Internal Medicine Physician
036102569
IL
207RN0300X
Nephrology Physician
Primary
036102569
IL
207RP1001X
Pulmonary Disease Physician
036102569
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102569
—
IL
Enumeration date
09/02/2005
Last updated
09/15/2022
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