Provider Demographics
NPI:1891959326
Name:SHEIKH, AMIR (ORTOTIST/PROSTHETIST)
Entity Type:Individual
Prefix:MR
First Name:AMIR
Middle Name:
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:ORTOTIST/PROSTHETIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 W CERMAK RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-3512
Mailing Address - Country:US
Mailing Address - Phone:847-736-6686
Mailing Address - Fax:773-940-1943
Practice Address - Street 1:2830 W CERMAK RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623
Practice Address - Country:US
Practice Address - Phone:847-736-6686
Practice Address - Fax:773-940-1943
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL212.000070172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212.000070OtherDME/ ORTHOTIC / PROSTHETIC / PEDORTHIST