Provider Demographics
NPI:1811401458
Name:LIFETIME FAMILY HEALTHCARE LTD
Entity Type:Organization
Organization Name:LIFETIME FAMILY HEALTHCARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:IRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAIKH-ABBASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-468-2034
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-17
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care