Individual
EHAB M SHAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7447 W. TALCOTT AVE, SUITE 512, CHICAGO, IL 60631
(773) 774-1790
(773) 774-1796
Mailing address
7447 W. TALCOTT AVE, SUITE 512, CHICAGO, IL 60631
(773) 774-1790
(773) 774-1796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036094256
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094256
—
IL
Enumeration date
11/04/2005
Last updated
01/03/2012
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