Individual
DR. KHIZER SHAMIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7702 N ALPINE RD, LOVES PARK, IL 61111-3107
(815) 971-3397
(815) 971-9795
Mailing address
MERCYHEALTH ALPINE CLINIC, 7702 N ALPINE RD, LOVES PARK, IL 61111
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.083189
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2024
Last updated
07/01/2025
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