Individual
DR. LAEEQ S SHAMSUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4530
(815) 759-8053
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4530
(815) 759-8053
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036110261
IL
207RP1001X
Pulmonary Disease Physician
036110261
IL
Other
Enumeration date
12/15/2006
Last updated
02/10/2021
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