Provider Demographics
NPI:1154676781
Name:SHIEKH, SEHER (OD)
Entity Type:Individual
Prefix:
First Name:SEHER
Middle Name:
Last Name:SHIEKH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 E MAIN ST
Mailing Address - Street 2:SUITE 114
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-2457
Mailing Address - Country:US
Mailing Address - Phone:630-443-7200
Mailing Address - Fax:
Practice Address - Street 1:3800 E MAIN ST
Practice Address - Street 2:SUITE 114
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-2457
Practice Address - Country:US
Practice Address - Phone:630-443-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046010553152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist