Provider Demographics
NPI:1700176450
Name:SHARIEFF, AMIN OMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIN
Middle Name:OMAR
Last Name:SHARIEFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N CANAL ST
Mailing Address - Street 2:APTT 2005
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-1236
Mailing Address - Country:US
Mailing Address - Phone:312-806-0262
Mailing Address - Fax:
Practice Address - Street 1:300 N CANAL ST
Practice Address - Street 2:APTT 2005
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-1236
Practice Address - Country:US
Practice Address - Phone:312-806-0262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-14
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036135165207RC0000X
IL125060676207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease