Individual
DR. UMAR MUHAMMAD SHAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-5656
(312) 567-5667
Mailing address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-5656
(312) 567-5667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258854
MA
207R00000X
Internal Medicine Physician
DO00662
RI
207RC0000X
Cardiovascular Disease Physician
Primary
036159708
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087905A
—
MA
05
—
US82064
—
RI
Enumeration date
10/04/2006
Last updated
08/14/2024
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