Organization
SHOAIB MEMON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOAIB MEMON M.D. (MANAGER)
(708) 692-5730
Entity
Organization
Contact information
Practice address
333 N MICHIGAN AVE, SUITE 618, CHICAGO, IL 60601-3901
(708) 692-5730
Mailing address
333 N MICHIGAN AVE, SUITE 618, CHICAGO, IL 60601-3901
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
036.127359
IL
2084P0800X
Psychiatry Physician
Primary
036.127359
IL
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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