Provider Demographics
NPI:1821248741
Name:MEMON, SHOAIB A (MD)
Entity Type:Individual
Prefix:DR
First Name:SHOAIB
Middle Name:A
Last Name:MEMON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:676 N SAINT CLAIR ST
Mailing Address - Street 2:SUITE 945
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2927
Mailing Address - Country:US
Mailing Address - Phone:312-695-9627
Mailing Address - Fax:312-695-6072
Practice Address - Street 1:676 N SAINT CLAIR ST
Practice Address - Street 2:SUITE 945
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2927
Practice Address - Country:US
Practice Address - Phone:312-695-9627
Practice Address - Fax:312-695-6072
Is Sole Proprietor?:No
Enumeration Date:2008-09-28
Last Update Date:2012-08-02
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Provider Licenses
StateLicense IDTaxonomies
IL036.1273592084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry