Individual
DR. HABIB AHMED SHAIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O,
Contact information
Practice address
304 RANDALL RD, GENEVA, IL 60134-4200
(630) 232-0610
(630) 232-0675
Mailing address
304 RANDALL RD, GENEVA, IL 60134-4200
(630) 232-0610
(630) 232-0675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036116978
IL
207RH0000X
Hematology (Internal Medicine) Physician
036116978
IL
207RH0003X
Hematology & Oncology Physician
Primary
244577
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085773A
—
MA
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400298955
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
08/05/2008
Last updated
02/19/2018
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