Provider Demographics
NPI:1003334418
Name:SHAMSI, UZMA (MS, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:UZMA
Middle Name:
Last Name:SHAMSI
Suffix:
Gender:F
Credentials:MS, FNP-C
Other - Prefix:MS
Other - First Name:UZMA
Other - Middle Name:
Other - Last Name:TABASAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2340 S HIGHLAND AVE STE 270
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5396
Mailing Address - Country:US
Mailing Address - Phone:630-755-5881
Mailing Address - Fax:
Practice Address - Street 1:2340 S HIGHLAND AVE STE 270
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5396
Practice Address - Country:US
Practice Address - Phone:630-293-4124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209016418363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty