Provider Demographics
NPI:1083926216
Name:SHAIKH MC INC
Entity Type:Organization
Organization Name:SHAIKH MC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-884-9688
Mailing Address - Street 1:2200 W HIGGINS RD
Mailing Address - Street 2:SUITE 245
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2428
Mailing Address - Country:US
Mailing Address - Phone:847-884-9688
Mailing Address - Fax:847-884-9689
Practice Address - Street 1:2200 W HIGGINS RD
Practice Address - Street 2:SUITE 245
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2428
Practice Address - Country:US
Practice Address - Phone:847-884-9688
Practice Address - Fax:847-884-9689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036066467207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036066467Medicaid
ILC44927Medicare UPIN
ILC99247Medicare PIN