Individual
QASIM SHAKEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-3129
(217) 326-1550
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036138678
IL
208M00000X
Hospitalist Physician
Primary
036138678
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2012
Last updated
05/15/2017
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