Provider Demographics
NPI:1093782146
Name:SHAIKH-ABBASI, IRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:IRAM
Middle Name:
Last Name:SHAIKH-ABBASI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WALKER AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1351
Mailing Address - Country:US
Mailing Address - Phone:630-468-2034
Mailing Address - Fax:866-242-0565
Practice Address - Street 1:4 WALKER AVE STE B
Practice Address - Street 2:
Practice Address - City:CLARENDON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60514-1351
Practice Address - Country:US
Practice Address - Phone:630-468-2034
Practice Address - Fax:866-242-0565
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-116426207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH75789Medicare UPIN
NY5113A1Medicare ID - Type Unspecified